Individual provider Active NPI

Carlos Antonio Ortiz - Soto, MD

  • General Practice Physician
  • Cabo Rojo, PR
National Provider Identifier
1659305167
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15026 Issued in PR
Practice address
38 Calle Carbonell
Cabo Rojo, PR 00623-3445
Phone
(787) 255-0303
Fax
(787) 357-7473
NPI assigned
Jul 10, 2006
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 15026 PR Primary

Addresses

Primary practice location

38 Calle Carbonell
Cabo Rojo, PR 00623-3445

Mailing address

PO Box 1280
Cabo Rojo, PR 00623-1280
Phone (787) 255-0303

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
I20040921000978 PR Practitioner - General Practice 8224006887 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15026PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Carlos a. Ortiz Soto, CSP Single Specialty CurrentSince Feb 1, 2017 Accepting new patients
Municipio de Guanica Past Accepting new patients

Locations

34B Calle Carbonell
Cabo Rojo, PR 00623
Phone (787) 255-0303

38 Calle Carbonell
Cabo Rojo, PR 00623
Phone (787) 255-0303

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1659305167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006231280",
            "telephone_number": "787-255-0303",
            "fax_number": "787-357-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CALLE CARBONELL",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233445",
            "telephone_number": "787-255-0303",
            "fax_number": "787-357-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ - SOTO",
        "first_name": "CARLOS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.