Active NPI
Omar Soto
- Land Ambulance
- Aguadilla, PR
National Provider Identifier
1356592570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- TCAMB339
- Practice address
- Carr. # 2 KM 117.6
Sector Ceiba Baja
Aguadilla, PR 00603 - Phone
- (787) 891-2173
- NPI assigned
- Oct 7, 2008
- Last updated
- Oct 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | TCAMB339 | PR | Primary |
Addresses
Primary practice location
Carr. # 2 KM 117.6
Sector Ceiba Baja
Aguadilla, PR 00603
Mailing address
HC 8 Box 45293
Aguadilla, PR 00603-9772
Phone (787) 891-2173
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0057169 | Other | PR | PROVIDER MEDICARE |
| 890518 | Other | PR | MMM |
| 50620 | Other | PR | PMC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| TCAMB339 | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omar Soto Reyes | Land Transport | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Soto's Medical Transport
- Land Ambulance
- Aguadilla, PR
- NPI 1528083789
Land Transport
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1356592570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 8 BOX 45293",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006039772",
"telephone_number": "787-891-2173",
"fax_number": "787-891-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. # 2 KM 117.6",
"address_2": "SECTOR CEIBA BAJA",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-891-2173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "OMAR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-07",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "TCAMB339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER MEDICARE",
"identifier": "0057169",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "890518",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMC",
"identifier": "50620",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.