Individual provider Active NPI

Vilmarie Soto Gonzalez, DC, DACNB

  • Neurology Chiropractor
  • Carolina, PR
National Provider Identifier
1760922082
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
0631 Issued in PR
Practice address
1400 Ave de Diego
St.130 Parque Escorial
Carolina, PR 00987-4701
Phone
(787) 564-4736
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 0631 PR Primary
Neurology Chiropractor 111NN0400X 009828 GA

Addresses

Primary practice location

1400 Ave de Diego
St.130 Parque Escorial
Carolina, PR 00987-4701

Mailing address

381 Ave Felisa Rincon
Cond Paseomonte Apt. 1104
San Juan, PR 00926
Phone (787) 564-4736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170823001596 PR Practitioner - Chiropractic 5193097376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 Ave de Diego
Suite 130
Carolina, PR 00987-4702
Phone (787) 564-4736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009828GAMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Neurospinal Health Center CurrentSince May 8, 2017 Accepting new patients

Locations

1400 Ave de Diego
Ste 130
Carolina, PR 00987
Phone (787) 564-4736

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1760922082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 AVE FELISA RINCON",
            "address_2": "COND PASEOMONTE APT. 1104",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-564-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 AVE DE DIEGO",
            "address_2": "ST.130 PARQUE ESCORIAL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874701",
            "telephone_number": "787-564-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO GONZALEZ",
        "first_name": "VILMARIE",
        "credential": "DC, DACNB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "PR",
            "license": "0631",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "GA",
            "license": "009828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.