Dr Kelvin Gonzalez Soto PSC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

DR KELVIN GONZALEZ SOTO PSC

Practice address

Rd 111 KM 5.0
Moca, PR 00676-4011

Phone

(787) 877-3355

Fax

(787) 877-3357

NPI assigned

Jun 22, 2022

Last updated

Sep 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelvin Gonzalez Soto, MDNPI 1538481841

Title

President

Phone

(787) 516-1580

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• DR KELVIN GONZALEZ SOTO PSC Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelvin Gonzalez Soto, M.D.

  • General Practice Physician
  • Moca, PR
  • NPI 1538481841
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1477284347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760156",
            "telephone_number": "787-877-3355",
            "fax_number": "787-877-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RD 111 KM 5.0",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764011",
            "telephone_number": "787-877-3355",
            "fax_number": "787-877-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KELVIN GONZALEZ SOTO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ SOTO",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-516-1580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17838",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038024000",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MOCA",
            "affiliation": "N",
            "endpointDescription": "RD 111 KM 5.0 MOCA PR 00676",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "MOCA",
            "address_1": "RD 111 KM 5.0",
            "city": "MOCA",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006760000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DR KELVIN GONZALEZ SOTO PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DR KELVIN GONZALEZ SOTO PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Wanda I Delgado
• Linezka Zoe Diaz Gonzalez, LIC.
• Nilsa J Diaz, BSN
• Tiffany Ann Diaz
• Doctores Asociados del Noroeste, Inc
• Dr Pedro O Cabrera Bonet CSP
• Dr Soto Medical PSC
• Dr. Eric M. Quinones Medina, LLC.
• Dra Maribel Perez Ramos LLC
• DXR Solutions LLC

• 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 Sep 15, 2026; 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.