Jessica N. Portela Soto, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17,389 Issued in PR

Practice address

Carr 4449 KM 1.4 Ave Agustin Ramos Calera
Cima Isabela
Isabela, PR 00662

Phone

(787) 710-2532

NPI assigned

Nov 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bella Vista Hospital Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1083636179
  Medicare reassignment NPD
• Bella Vista Hospital, Inc

  dba Bella Vista Anesthesiology Group

  • Anesthesiology Physician
  • Mayaguez, PR
  • NPI 1215827134
  NPD
• Aguadilla Medical Services, Inc

  • Radiology Clinic/Center
  • Aguadilla, PR
  • NPI 1902210800
  NPD (past)

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1447404769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51502",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501502",
            "telephone_number": "787-710-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 4449 KM 1.4 AVE AGUSTIN RAMOS CALERA",
            "address_2": "CIMA ISABELA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-710-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Villa Haydee",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "006035591",
            "country_code": "US",
            "telephone_number": "787-560-8268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTELA SOTO",
        "first_name": "JESSICA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17,389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA DE LIC DE PR",
            "identifier": "17389",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Policlinica Dr. Jose Mora Delgado, Inc. (Policlinica Dr. Mora, Inc.)
• Ponce Vision Express
• Neftali Ponce
• Popular Vision
• Popular Vision Center LLC
• Vanessa Maria Portilla, M.A.
• Pro Salud Care PSC (Pro Salud Care)
• Prosalud Medical Center P S C (Centro Radiologico Prosalud)
• Prosalud Medical Center PSC
• Ashley Quinones, PHARMD

• General Practice Physician in Isabela, PR
• Providers in Isabela, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.