NPIMap

Individual provider Active NPI

Luis Noel Soto, BSPH

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1477829463
Registry record updated Mar 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1707 Issued in PR
Practice address
124 Ave Winston Churchill
San Juan, PR 00926-6064
Phone
(787) 296-1616
Fax
(787) 296-2626
NPI assigned
Mar 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1707 PR Primary
Pharmacotherapy Pharmacist 1835P1200X 1707 PR

Addresses

Primary practice location

124 Ave Winston Churchill
San Juan, PR 00926-6064

Mailing address

124 Ave Winston Churchill
San Juan, PR 00926-6064
Phone (787) 296-1616

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

LicenseStateTypeSpecialty
1707PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacare Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1332547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332547200000",
    "number": "1477829463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 AVE WINSTON CHURCHILL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266064",
            "telephone_number": "787-296-1616",
            "fax_number": "787-296-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 AVE WINSTON CHURCHILL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266064",
            "telephone_number": "787-296-1616",
            "fax_number": "787-296-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "LUIS",
        "middle_name": "NOEL",
        "name_prefix": "Mr.",
        "credential": "BSPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-24",
        "last_updated": "2012-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "1707",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "PR",
            "license": "1707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.