Active NPI
Jesus Emanuel Hernandez Soto, MD, PA
- Physician Assistant
- Aguada, PR
National Provider Identifier
1609725753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2952
- Practice address
- Carr 411 KM. 1.2 Int
Aguada, PR 00602 - Phone
- (939) 325-4364
- NPI assigned
- Jan 22, 2026
- Last updated
- Jan 22, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2952 | PR | Primary |
Addresses
Primary practice location
Carr 411 KM. 1.2 Int
Aguada, PR 00602
Mailing address
HC 57 Box 15651
Aguada, PR 00602-9867
Phone (939) 325-4364
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2952 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1609725753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 57 BOX 15651",
"city": "AGUADA",
"state": "PR",
"postal_code": "006029867",
"telephone_number": "939-325-4364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 411 KM. 1.2 INT",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "939-325-4364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ SOTO",
"first_name": "JESUS",
"middle_name": "EMANUEL",
"credential": "MD, PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-22",
"last_updated": "2026-01-22",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "2952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguada, PR
- Health Management & Logistics Group, Inc.
- Healthy Spine Chiropractic LLC
- Miriam Hernandez Hernandez, M.D.
- Jeysha Marie Hernandez Orosco
- Iraida Hernandez Perez, MA
- Anabel Hernandez-Mantilla, PT
- Marie Bernadine Hidalgo - Rivera, MD
- Edwin Hilerio Ramos, DC
- Hilerios Chiropractic LLC
- Home Psychiatric Service Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.