Active NPI
Amanda Raquel Soto, PHARMD
- Community/Retail Pharmacy
- Dorado, PR
National Provider Identifier
1588870539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6977
- Practice address
- J6 Calle Caoba
Quintas de Dorado
Dorado, PR 00646-4720 - Phone
- (787) 619-8546
- NPI assigned
- May 15, 2007
- Last updated
- Dec 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1373 | PR | |
| Community/Retail Pharmacy | 3336C0003X | 6977 | PR | Primary |
Addresses
Primary practice location
J6 Calle Caoba
Quintas de Dorado
Dorado, PR 00646-4720
Mailing address
Calle Caoba J6
Quintas de Dorado
Dorado, PR 00646-4720
Phone (787) 619-8546
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6977 | PR | MD | Pharmacy Technician |
| 1373 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1588870539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE CAOBA J6",
"address_2": "QUINTAS DE DORADO",
"city": "DORADO",
"state": "PR",
"postal_code": "006464720",
"telephone_number": "787-619-8546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "J6 CALLE CAOBA",
"address_2": "QUINTAS DE DORADO",
"city": "DORADO",
"state": "PR",
"postal_code": "006464720",
"telephone_number": "787-619-8546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "AMANDA",
"middle_name": "RAQUEL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2021-12-10",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1373",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PR",
"license": "6977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.