Dr. Carlos a. Ortiz Soto, CSP

Organization Active NPI General Practice Physician · Cabo Rojo, PR

NPI 1386989747 · NPPES record last updated Dec 16, 2024

Key facts

NPI
1386989747
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
DR. CARLOS A. ORTIZ SOTO, CSP
Practice address
38 Calle Carbonell
Cabo Rojo, PR 00623-3445
Phone
(787) 255-0303
Fax
(787) 255-0303
NPI assigned
Dec 11, 2012
Organization subpart
No

Authorized official

Name
Dr. Carlos Antonio Ortiz-Soto, MD
Title
President
Phone
(787) 255-0303

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170306002345 PR Part B Supplier - Clinic/Group Practice 3072897396 Receives reassigned benefits from 1 practitioner
Practice locations: Cabo Rojo, PR

National Provider Directory

Locations

38 Calle Carbonell
Cabo Rojo, PR 00623
Phone (787) 255-0303

34B Calle Carbonell
Cabo Rojo, PR 00623
Phone (787) 255-0303

64 Calle Munoz Rivera
Cabo Rojo, PR 00623
Phone (787) 851-1923

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X Yes

Addresses

Primary practice location

38 Calle Carbonell
Cabo Rojo, PR 00623-3445

Mailing address

PO Box 1280
Cabo Rojo, PR 00623-1280
Phone (787) 255-0303

Other names

  • Dr. Carlos A. Ortiz Soto Other name

Other providers in Cabo Rojo, PR

All providers in Cabo Rojo, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.