Individual provider Active NPI

Emmanuel Soto-Hernandez, MD

  • General Practice Physician
  • Moca, PR
National Provider Identifier
1407491616
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21595 Issued in PR
Practice address
32 Calle Don Chemary
Moca, PR 00676-4122
Phone
(939) 323-6955
NPI assigned
Nov 12, 2019
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21595 PR Primary

Addresses

Primary practice location

32 Calle Don Chemary
Moca, PR 00676-4122

Mailing address

HC 5 Box 10087
Moca, PR 00676-9717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191202002445 PR Practitioner - General Practice 1850724089 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21595PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Yaguez, Inc. Single Specialty Current Accepting new patients
Pura Vida Medical Group Single Specialty CurrentSince Jun 30, 2023 Accepting new patients
Clinica Yaguez, Inc Single Specialty CurrentSince Nov 20, 2019 Accepting new patients
Clinica Yaguez, Inc. CurrentSince Nov 20, 2019 Accepting new patients
Aguada Medical Center Care Club PastSince Jun 30, 2020 Accepting new patients

Locations

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

32 Calle Don Chemary
Moca, PR 00676
Phone (787) 672-9525

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1407491616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 10087",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CALLE DON CHEMARY",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764122",
            "telephone_number": "939-323-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO-HERNANDEZ",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.