Antonio Guillermo Sotomayor, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

6099 Issued in PR

Practice address

Calle Maga H. Psiquiatrico Rio Pidras
Bo Monacillos
San Juan, PR 00922

Phone

(787) 766-4646

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275622284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22402 UPR STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009312402",
            "telephone_number": "787-792-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MAGA H. PSIQUIATRICO RIO PIDRAS",
            "address_2": "BO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00922",
            "telephone_number": "787-766-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOMAYOR",
        "first_name": "ANTONIO",
        "middle_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "6099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6099",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roseann Soto, MS/SLP
• Victor Soto
• Victor Manuel Soto
• Jennifer Sotomayor Pabon, DC
• Claudia Beatriz Sotomayor Rivera, MD
• Lauramar Sotomayor, D.M.D
• Marietta Sotomayor
• Juan Carlos Sotomonte Ariza, M.D.
• Maileen Souchet, PH.D.
• Federico Augusto Souffront, DMD

• Child & Adolescent Psychiatry Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Child & Adolescent Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.