Active NPI
Maria L. Soto, M.D.
- Family Medicine Physician
- Alamosa, CO
National Provider Identifier
1366479909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15158
- Practice address
- 700 Main St
Suite 100
Alamosa, CO 81101-2527 - Phone
- (719) 589-3696
- Fax
- (719) 589-4901
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15158 | PR | Primary |
| Family Medicine Physician | 207Q00000X | DR-45903 | CO |
Addresses
Primary practice location
700 Main St
Suite 100
Alamosa, CO 81101-2527
Mailing address
700 Main St
Suite 100
Alamosa, CO 81101-2527
Phone (719) 589-3696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72408715 | Medicaid | CO |
Other names 1
- Dr. Maria Luisa Soto Caraballo
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15158 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340409600000",
"number": "1366479909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 MAIN ST",
"address_2": "SUITE 100",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012527",
"telephone_number": "719-589-3696",
"fax_number": "719-589-4901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MAIN ST",
"address_2": "SUITE 100",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012527",
"telephone_number": "719-589-3696",
"fax_number": "719-589-4901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "MARIA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2012-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "15158",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR-45903",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "72408715",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "SOTO CARABALLO",
"middle_name": "LUISA",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.