Individual provider Active NPI

Elvin Soto Hernandez, M.D.

  • Nephrology Physician
  • Aguadilla, PR
National Provider Identifier
1699030445
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
19066 Issued in PR
Practice address
Aguadilla Medical Services, Office 101
Carr # 2 KM 129.3, Bo. Victoria
Aguadilla, PR 00603
Phone
(787) 233-5727
NPI assigned
Jul 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19066 PR
Nephrology Physician 207RN0300X 19066 PR Primary

Addresses

Primary practice location

Aguadilla Medical Services, Office 101
Carr # 2 KM 129.3, Bo. Victoria
Aguadilla, PR 00603

Mailing address

HC 61 Box 5400
Aguada, PR 00602-9534

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
I20180515001690 PR Practitioner - NephrologyPractitioner - Internal Medicine 4688938889 Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Edificio Western Medical Plaza
Ave Severiano Cuevas 18
Aguadilla, PR 00603-0998
Phone (787) 882-5315

Hospital & facility affiliations

  • Atlantis Isabela Dialysis facility, Isabela, PR, CCN 402537
  • Atlantis Aguadilla Dialysis facility, Aguadilla, PR, CCN 402519

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19066PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Renal Care PSC CurrentSince Aug 2, 2020 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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1699030445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 61 BOX 5400",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AGUADILLA MEDICAL SERVICES, OFFICE 101",
            "address_2": "CARR # 2 KM 129.3, BO. VICTORIA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-233-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO HERNANDEZ",
        "first_name": "ELVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19066",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "19066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.