Individual provider Active NPI

Jomarys Soto Roman

  • General Practice Registered Nurse
  • Mayaguez, PR
National Provider Identifier
1245818418
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
88152 Issued in PR
Practice address
Ave Hostos #410
Carretera #2 , Bo Sabalos
Mayaguez, PR 00680
Phone
(787) 652-9200
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 88152 PR Primary

Addresses

Primary practice location

Ave Hostos #410
Carretera #2 , Bo Sabalos
Mayaguez, PR 00680

Mailing address

HC 3 Box 33287
Aguada, PR 00602-9767
Phone (787) 224-9294

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL soto-16

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
88152PRMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1245818418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 33287",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029767",
            "telephone_number": "787-224-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE HOSTOS #410",
            "address_2": "CARRETERA #2 , BO SABALOS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-652-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO ROMAN",
        "first_name": "JOMARYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "88152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "soto-16",
            "affiliation": "N",
            "address_1": "Carr 4416 km 2.3",
            "address_2": "Int. Ba Lagunas",
            "city": "Aguada",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.