Individual provider Active NPI

Priscilla Milagros Soto Justiniano, MD

  • Internal Medicine Physician
  • Sabana Grande, PR
National Provider Identifier
1447813894
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22677 Issued in PR
Practice address
8 Calle Julio Victor Nunez
Sabana Grande, PR 00637-1912
Phone
(787) 873-3005
NPI assigned
Apr 20, 2019
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22677 PR Primary

Addresses

Primary practice location

8 Calle Julio Victor Nunez
Sabana Grande, PR 00637-1912

Mailing address

PO Box 2114
San German, PR 00683-2114

Other practice location 1

8 Calle Javilla
San German, PR 00683-4102
Phone (787) 892-5300

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
I20221021001237 PR Practitioner - Internal Medicine 1254663552 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22677PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric J Sambolin Morales LLC Internal Medicine CurrentSince Jul 31, 2022 Accepting new patients
Consalud LLC Internal Medicine CurrentSince May 25, 2025 Accepting new patients
Priscilla M Soto Justiniano LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients

Locations

8 Calle Julio Victor Nunez
Sabana Grande, PR 00637
Phone (787) 873-3005

8 Calle Javilla
San German, PR 00683
Phone (787) 892-2880

Interoperability endpoints

  • Direct secure messaging: priscilla.sotojustiniano.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 3

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": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1447813894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2114",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006832114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE JULIO VICTOR NUNEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371912",
            "telephone_number": "787-873-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Calle Javilla",
            "address_purpose": "LOCATION",
            "city": "San German",
            "state": "PR",
            "postal_code": "006834102",
            "country_code": "US",
            "telephone_number": "787-892-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO JUSTINIANO",
        "first_name": "PRISCILLA",
        "middle_name": "MILAGROS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "22677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.