Individual provider Active NPI

Eileen Marie Soto Ruiz, MD

  • General Practice Physician
  • Aguada, PR
National Provider Identifier
1609520196
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22613 Issued in PR
Practice address
158 Calle la Paz
Aguada, PR 00602-3211
Phone
(787) 452-5115
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 22613 PR Primary

Addresses

Primary practice location

158 Calle la Paz
Aguada, PR 00602-3211

Mailing address

158 Calle la Paz
Aguada, PR 00602-3211
Phone (787) 452-5115

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
I20230510001425 PR Practitioner - General Practice 9234595695 Reassigns benefits to 1 organization
Practice locations: Aguada, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Group Corp. General Practice CurrentSince Sep 8, 2024 Accepting new patients

Organizations & group practices 1

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1609520196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CALLE LA PAZ",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023211",
            "telephone_number": "787-452-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CALLE LA PAZ",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023211",
            "telephone_number": "787-452-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO RUIZ",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.