Individual provider Active NPI

Leslie K. Soto, M.D.

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1538302575
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17170 Issued in PR
Practice address
Sector Las Canelas
Calle Santa Teresa
Arecibo, PR 00612
Phone
(747) 412-6733
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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 17170 PR Primary

Addresses

Primary practice location

Sector Las Canelas
Calle Santa Teresa
Arecibo, PR 00612

Mailing address

PO Box 2020 PMB 121
Barceloneta, PR 00617-2020
Phone (787) 412-6733

Other names 1

  • Dr. Leslie K. Soto-Gonzalez Other name

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
I20160311000995 PR Practitioner - General SurgeryPractitioner - General Practice 7810293149 Reassigns benefits to 3 organizations
Practice locations: Arecibo, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CDT Dr Melendez, Inc CurrentSince Oct 23, 2017 Accepting new patients
Villa Los Santos Clinic, LLC CurrentSince May 1, 2024 Accepting new patients
CDT Dr. Melendez, Inc CurrentSince Oct 23, 2017 Accepting new patients
Laboratorio Clinico Villa Los Santos Current Accepting new patients
Servicios de Salud del Norte General Practice CurrentSince Jun 1, 2023 Accepting new patients
Villa Los Santos Clinic, LLC General Practice CurrentSince May 1, 2024 Accepting new patients

Locations

V1 Calle 16
Arecibo, PR 00612
Phone (787) 817-3144

Organizations & group practices 6

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1538302575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2020 PMB 121",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172020",
            "telephone_number": "787-412-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SECTOR LAS CANELAS",
            "address_2": "CALLE SANTA TERESA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "747-412-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "LESLIE",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "SOTO-GONZALEZ",
            "middle_name": "K.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.