Individual provider Active NPI

Ian R Soto Lopez, MD

  • Surgery of the Hand (Surgery) Physician
  • Caguas, PR
National Provider Identifier
1720157266
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
13471 Issued in PR
Practice address
Hima Plaza I
Suite 412a
Caguas, PR 00725
Phone
(787) 961-4626
Fax
(787) 961-4646
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 13471 PR
Surgery of the Hand (Surgery) Physician 2086S0105X 13471 PR Primary

Addresses

Primary practice location

Hima Plaza I
Suite 412a
Caguas, PR 00725

Mailing address

PO Box 770
Caguas, PR 00726-0770
Phone (787) 286-3273

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
I20031222000765 PR Practitioner - General SurgeryPractitioner - Hand Surgery 6305744863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Hand Surgery
Education
University of Puerto Rico School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Ave Degetau
Caguas, PR 00725-7301
Phone (787) 961-4626

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13471PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Era Surgical Group, PSC Surgery of the Hand CurrentSince Feb 22, 2014 Accepting new patients

Locations

500 Ave Degetau
Ste 4
Caguas, PR 00725
Phone (787) 961-4626

500 Ave Degetau
Ste 412A
Caguas, PR 00725
Phone (787) 961-4626

Interoperability endpoints

  • Direct secure messaging: ian.sotolopez@1101.chartlogic.direct-ci.com

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1720157266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260770",
            "telephone_number": "787-286-3273",
            "fax_number": "787-746-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA PLAZA I",
            "address_2": "SUITE 412A",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-961-4626",
            "fax_number": "787-961-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO LOPEZ",
        "first_name": "IAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "13471",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "PR",
            "license": "13471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.