Individual provider Active NPI

Lourdes Mabel Soto, REGISTRED NURSE

  • Registered Nurse
  • San Juan, PR
National Provider Identifier
1437624368
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
18541 Issued in PR
Practice address
900 C Cerra Final Parada 15
CDT Dr Gualberto Rabell
San Juan, PR 00928
Phone
(787) 480-3789
Fax
(787) 723-6247
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 18541 PR Primary

Addresses

Primary practice location

900 C Cerra Final Parada 15
CDT Dr Gualberto Rabell
San Juan, PR 00928

Mailing address

367 Calle Fortaleza
San Juan, PR 00901-1715
Phone (787) 244-0780

Other names 1

  • Lourdes M. Soto Traverso Former name

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

LicenseStateTypeSpecialty
18541PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1437624368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 CALLE FORTALEZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009011715",
            "telephone_number": "787-244-0780",
            "fax_number": "787-723-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 C CERRA FINAL PARADA 15",
            "address_2": "CDT DR GUALBERTO RABELL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00928",
            "telephone_number": "787-480-3789",
            "fax_number": "787-723-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "LOURDES",
        "middle_name": "MABEL",
        "name_prefix": "Mrs.",
        "credential": "REGISTRED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "18541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOURDES",
            "last_name": "SOTO TRAVERSO",
            "middle_name": "M.",
            "credential": "RNBSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.