NPIMap

Individual provider Active NPI

Benjamin Perez-Soto, MD

  • Urology Physician
  • Mayaguez, PR
National Provider Identifier
1669551479
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5355 Issued in PR
Practice address
Basora 55N
Mayaguez, PR 00080
Phone
(787) 832-7378
Fax
(787) 805-5440
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5355 PR Primary
Urology Physician 208800000X A36841 CA
Urology Physician 208800000X ME50601 FL

Addresses

Primary practice location

Basora 55N
Mayaguez, PR 00080

Mailing address

Basora 55N Off 209 Medico IV
Mayaguez, PR 00080
Phone (787) 832-7378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A36841CAMDUrology Physician
ME50601FLMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669551479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BASORA 55N OFF 209 MEDICO IV",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00080",
            "telephone_number": "787-832-7378",
            "fax_number": "787-805-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BASORA 55N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00080",
            "telephone_number": "787-832-7378",
            "fax_number": "787-805-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-SOTO",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "5355",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A36841",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME50601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.