Active NPI
Luis G. Caban-Soto, DC
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1467278317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15213
- Practice address
- 1205 Monument Rd Ste 202
Jacksonville, FL 32225-6482 - Phone
- (904) 594-2471
- NPI assigned
- Nov 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15213 | FL | Primary |
Addresses
Primary practice location
1205 Monument Rd Ste 202
Jacksonville, FL 32225-6482
Mailing address
1394 Dunlawton Ave Apt 907
Port Orange, FL 32127-4762
Phone (787) 314-2527
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15213 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1467278317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1394 DUNLAWTON AVE APT 907",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274762",
"telephone_number": "787-314-2527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 MONUMENT RD STE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322256482",
"telephone_number": "904-594-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABAN-SOTO",
"first_name": "LUIS",
"middle_name": "G.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "15213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.