Individual provider Active NPI

Katherine Soto-Moreno, M.D.

  • Cardiovascular Disease Physician
  • Anasco, PR
National Provider Identifier
1689019028
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
019491 Issued in PR
Practice address
Carr. 402 KM 1.8
Zona Industrial Bo Marias
Anasco, PR 00610-0001
Phone
(787) 224-7777
Fax
(787) 844-6888
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 019491 PR Primary

Addresses

Primary practice location

Carr. 402 KM 1.8
Zona Industrial Bo Marias
Anasco, PR 00610-0001

Mailing address

PO Box 154
Mayaguez, PR 00681-0154
Phone (787) 224-7777

Other practice location 1

2770 Ave Hostos Ste 309
Mayaguez, PR 00682-6386
Phone (939) 261-0667

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
I20200828000491 PR Practitioner - Cardiovascular Disease (Cardiology) 0749607299 Practice locations: Anasco, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2770 Ave Hostos
Suite 309
Mayaguez, PR 00682-6386

Carr 402 KM 1
Anasco, PR 00681
Phone (787) 224-7777

PO Box
Mayaguez, PR 00681

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019491PRMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1689019028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810154",
            "telephone_number": "787-224-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 402 KM 1.8",
            "address_2": "ZONA INDUSTRIAL BO MARIAS",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100001",
            "telephone_number": "787-224-7777",
            "fax_number": "787-844-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 Ave Hostos Ste 309",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006826386",
            "country_code": "US",
            "telephone_number": "939-261-0667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO-MORENO",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "019491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anasco, PR

Sources for this page

Verify at the official NPI Registry.