Astrid Rocio Soares Medina

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

19660 Issued in PR

Practice address

2 Carr Puerto Rico
Av Hostos 410 Bo Sabalos Suite 116
Mayaguez, PR 00681-0000

Phone

(787) 381-7469

Fax

(787) 652-1833

NPI assigned

Aug 29, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mayaguez Medical Center Dr Ramon Emeterio Betances Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1013140383
  NPD (past)
• Nationwide Children'S Hospital

  • Children's Hospital
  • Columbus, OH
  • NPI 1417403569
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1639625783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E GAY ST UNIT 206",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153169",
            "telephone_number": "787-717-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARR PUERTO RICO",
            "address_2": "AV HOSTOS 410 BO SABALOS SUITE 116",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810000",
            "telephone_number": "787-381-7469",
            "fax_number": "787-652-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Gay St Unit 206",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432153169",
            "country_code": "US",
            "telephone_number": "787-717-8477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOARES MEDINA",
        "first_name": "ASTRID ROCIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PR",
            "license": "19660",
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "OH",
            "license": "57.027307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco A Silvestrini, M.D.
• Edward S Singh, MD
• SL Health Services LLC
• SM Medical Care
• Smiles of Beauty Dental Group, P.S.C.
• Sociedad Internistas Generales, Inc.
• Sociedad Mayaguez Surgical
• Solidarity Medical Group, Inc.
• Solidarity Mso LLC
• Javier Sosa, MD

• Pediatric Surgery Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Pediatric Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.