Edivette Soto Santa, LND

Primary specialty

NutritionistTaxonomy code 133N00000X

License

987 Issued in PR

Practice address

1306 Ave Fernandez Juncos
San Juan, PR 00909

Phone

(787) 480-3000

NPI assigned

Jun 8, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Municipio de San Juan

  • Adult Day Care Clinic/Center
  • San Juan, PR
  • NPI 1205386554
  NPD (past)
• Programa Sida de San Juan-Lab

  • Clinical Medical Laboratory
  • San Juan, PR
  • NPI 1346451895
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1508395054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 981",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006500981",
            "telephone_number": "787-349-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 AVE FERNANDEZ JUNCOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-480-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO SANTA",
        "first_name": "EDIVETTE",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leamsi Jesus Soto Ortiz, BS
• Oscar Soto Raices, MD
• Jose Antonio Soto Ramos
• Sahudi Nicole Soto Rodriguez
• Jelitza Soto Roman, PHD
• Clarimar Soto Soto
• Marcon Enrique Soto Telemaco, MD
• Yadielis Nicole Soto Torres
• Diego Andres Soto Valentin, MD
• Leslie Ann Soto Velez, M.D.

• Nutritionist in San Juan, PR
• Providers in San Juan, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.