Leslie I. Soto Velazquez

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

423 Issued in PR

Legal business name

LESLIE I. SOTO VELAZQUEZ

Practice address

226 Barbosa St
Moca, PR 00676

Phone

(787) 877-8270

Fax

(787) 877-8270

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie Ivette Soto Velazquez, MT

Title

General Supervisor / Owner

Phone

(787) 877-8270

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Soto Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1659319978",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "226 BARBOSA ST",
            "city": "MOCA",
            "state": "PUERTO RICO",
            "postal_code": "00676",
            "telephone_number": "787-877-8270",
            "fax_number": "787-877-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BARBOSA ST",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-8270",
            "fax_number": "787-877-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE I. SOTO VELAZQUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "SOTO VELAZQUEZ",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "GENERAL SUPERVISOR / OWNER",
        "authorized_official_telephone_number": "787-877-8270",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Soto",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laboratorio Clinico Obymar
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• Ana Lebron Cortes
• Leeann Ambulance Service Inc
• Life Care EMS Inc
• Life Care Medical Transport Inc
• Life Pharmacy Corp.
• Lixel Strategies LLC
• Yaniris Lopez Gonzalez

• Clinical Medical Laboratory in Moca, PR
• Providers in Moca, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.

Verify at the official NPI Registry.