Alisha Cristel Soto Gonzalez, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3457 Issued in PR

Practice address

170 Bda Felix Cordova Davila
Manati, PR 00674-6021

Phone

(787) 854-7429

Fax

(787) 854-7429

NPI assigned

Jun 15, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Pediatrics PSC

  • Pediatric Dentistry
  • Manati, PR
  • NPI 1346025665
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1194393348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2051",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742051",
            "telephone_number": "939-404-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BDA FELIX CORDOVA DAVILA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006746021",
            "telephone_number": "787-854-7429",
            "fax_number": "787-854-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO GONZALEZ",
        "first_name": "ALISHA",
        "middle_name": "CRISTEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3457",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "3457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Solano Garcia, MD
• Edgar Solero
• Sonido Alegre
• Sonrisas Para Peques LLC
• Jeltsina Sofia Sosa Victorio, MD
• Coralys Soto Rodriguez, MD
• Raymond Soto Ruiz
• Karen Soto-Medina, M.D.
• Elvin Soto
• Jannette Soto, PHARMD

• Pediatric Dentistry in Manati, PR
• Providers in Manati, PR by specialty
• Pediatric Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.