Individual provider Active NPI

Jaime A. Soto Carril, M.D.

  • General Practice Physician
  • Moca, PR
National Provider Identifier
1477912301
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19263 Issued in PR
Practice address
HC 1 Box 5644
Moca, PR 00676-9567
Phone
(787) 634-8023
NPI assigned
Feb 20, 2016
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19263 PR Primary

Addresses

Primary practice location

HC 1 Box 5644
Moca, PR 00676-9567

Mailing address

HC 2 Box 120697
Moca, PR 00676
Phone (787) 634-2917

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
I20170211000071 PR Practitioner - General Practice 8820371115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

HC 1 Box
Moca, PR 00676

HC 2 Box
Suite 120697
Moca, PR 00676-8369

PO Box
68 Hospital San Carlos Borromeo
Moca, PR 00676-0068

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital San Carlos Incorporado CurrentSince Jun 6, 2024 Accepting new patients
Dr Soto Medical PSC CurrentSince Jul 1, 2019 Accepting new patients
Servicios Hospitalistas San Carlos Borromeo CurrentSince Jun 6, 2024 Accepting new patients
Servicios de Anestesia Hospital San Carlos Borromeo PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1455926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1477912301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 120697",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-634-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5644",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769567",
            "telephone_number": "787-634-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO CARRIL",
        "first_name": "JAIME",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-20",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.