Individual provider Active NPI

Diomedes Ramos Soto, MD

  • General Practice Physician
  • Rio Piedras, PR
National Provider Identifier
1720154438
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9997 Issued in PR
Practice address
1104 Blumbaugh & Arzuaga St Building Santa Ana
305 Ofc 3Rd Floor
Rio Piedras, PR 00925
Phone
(787) 767-3777
NPI assigned
Nov 27, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9997 PR Primary

Addresses

Primary practice location

1104 Blumbaugh & Arzuaga St Building Santa Ana
305 Ofc 3Rd Floor
Rio Piedras, PR 00925

Mailing address

PO Box 363386
San Juan, PR 00936-3386
Phone (787) 767-3777

Other identifiers 4

IdentifierTypeStateIssuer
M1187OtherPRLA CHUZ AZUL DE PR
90292OtherPRTRIPLE SSS
9210120OtherHUMANA INS OF PR LENDER
5620OtherINTERNATIONAL MEDICAL CAR

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

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720154438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363386",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363386",
            "telephone_number": "787-767-3777",
            "fax_number": "787-720-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 BLUMBAUGH & ARZUAGA ST BUILDING SANTA ANA",
            "address_2": "305 OFC 3RD FLOOR",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-767-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS SOTO",
        "first_name": "DIOMEDES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CHUZ AZUL DE PR",
            "identifier": "M1187",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "90292",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INS OF PR LENDER",
            "identifier": "9210120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "5620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, 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.