Individual provider Active NPI

David A. Soto Quijano, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Bayamon, PR
National Provider Identifier
1679674097
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
13258 Issued in PR
Practice address
66 Calle Santa Cruz
Instituto San Pablo Suite 301
Bayamon, PR 00961-7041
Phone
(787) 740-2270
Fax
(787) 785-7277
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 13258 PR Primary

Addresses

Primary practice location

66 Calle Santa Cruz
Instituto San Pablo Suite 301
Bayamon, PR 00961-7041

Mailing address

66 Calle Santa Cruz
Instituto San Pablo Suite 301
Bayamon, PR 00961-7041
Phone (787) 740-2270

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
I20130612000509 PR Order and Referring Only - Physical Medicine and RehabilitationPractitioner - Physical Medicine and Rehabilitation 8022911486

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13258PRMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Fisiatrico de Bayamon PTR Sports Medicine PastSince Sep 25, 1995 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1679674097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ",
            "address_2": "INSTITUTO SAN PABLO SUITE 301",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-740-2270",
            "fax_number": "787-785-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ",
            "address_2": "INSTITUTO SAN PABLO SUITE 301",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-740-2270",
            "fax_number": "787-785-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO QUIJANO",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PR",
            "license": "13258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.