Carlos M Zaccheus Soto, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18085 Issued in PR

Practice address

316 Calle Yagrumo
Fajardo Gardens
Fajardo, PR 00738-2967

Phone

(787) 655-4808

NPI assigned

Nov 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1659672186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 CALLE YAGRUMO",
            "address_2": "FAJARDO GARDENS",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007382967",
            "telephone_number": "787-655-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALLE YAGRUMO",
            "address_2": "FAJARDO GARDENS",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007382967",
            "telephone_number": "787-655-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCHEUS SOTO",
        "first_name": "CARLOS",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.