Active NPI
Angel Luis Soto, MD, MPH
- General Practice Physician
- Guaynabo, PR
National Provider Identifier
1508893777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 13644
- Practice address
- 90 Carr 165 Ste 504
Guaynabo, PR 00968-8067 - Phone
- (787) 708-6777
- Fax
- (787) 708-6779
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 13644 | PR | Primary |
Addresses
Primary practice location
90 Carr 165 Ste 504
Guaynabo, PR 00968-8067
Mailing address
90 Carr 165 Ste 504
Guaynabo, PR 00968-8067
Phone (787) 708-7777
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070222000020 | PR | Practitioner - General Practice | 9830291830 | Practice locations: Guaynabo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13644 | PR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S & S Healthcare Services Inc. | Past | Accepting new patients | |
| S & S Healthcare Services Inc. | Past | Accepting new patients | |
| Centro Diangostico Integral PR Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Guaynabo, PR
- NPI 1649421256
-
- Health Service Clinic/Center
- Guaynabo, PR
- NPI 1750733473
-
- Multi-Specialty Clinic/Center
- Santurce, PR
- NPI 1164482022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1508893777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 CARR 165 STE 504",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009688067",
"telephone_number": "787-708-7777",
"fax_number": "787-708-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 CARR 165 STE 504",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009688067",
"telephone_number": "787-708-6777",
"fax_number": "787-708-6779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "ANGEL",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2022-10-13",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "13644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.