Pura Vida Medical Group

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PURA VIDA MEDICAL GROUP

Practice address

32 Calle Don Chemary
Moca, PR 00676-4122

Phone

(787) 672-9525

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Soto, MD

Title

Owner

Phone

(787) 672-9525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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

• Emmanuel Soto-Hernandez, MD

  • General Practice Physician
  • Moca, PR
  • NPI 1407491616

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1457046864",
    "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",
            "telephone_number": "787-672-9525"
        },
        {
            "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": "787-672-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA VIDA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-672-9525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Health Center, PSC
• Psicosynapse Integral LLC
• Psidep LLC
• Psiquiatria Puerto Rico LLC
• Puerto Rico Emergency Services Pres Inc
• Eric M Quinones Medina Sr.
• Melissa Quintana
• Radioimagenes Diagnosticas
• Nidza M Ramirez, PHARM TECHNICIAN
• Jaime J Ramos Hernandez, PA

• Health Service Clinic/Center in Moca, PR
• Providers in Moca, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.