Active NPI
Vicente Juan Urbistondo Soto, AUD
- Audiologist
- San Juan, PR
National Provider Identifier
1619984036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 266
- Practice address
- 10 Calle Casia
Asps(126)
San Juan, PR 00921-3200 - Phone
- (787) 641-7582
- Fax
- (787) 641-0654
- NPI assigned
- Aug 1, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 266 | PR | Primary |
Addresses
Primary practice location
10 Calle Casia
Asps(126)
San Juan, PR 00921-3200
Mailing address
PO Box 270454
San Juan, PR 00928-2454
Phone (787) 641-7582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210407002619 | PR | Practitioner - Qualified Audiologist | 4486061538 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266 | PR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1619984036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270454",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009282454",
"telephone_number": "787-641-7582",
"fax_number": "787-641-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE CASIA",
"address_2": "ASPS(126)",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213200",
"telephone_number": "787-641-7582",
"fax_number": "787-641-0654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBISTONDO SOTO",
"first_name": "VICENTE",
"middle_name": "JUAN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PR",
"license": "266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.