George L Holguin Soto, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12406 Issued in PR

Practice address

Carr. 152, KM. 9.9
Bo. Cedro Arriba, Sec. Abanico
Naranjito, PR 00719-0000

Phone

(787) 869-2626

Fax

(787) 869-2624

NPI assigned

Nov 15, 2006

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jorge L Holguin Soto Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LRC Medical Professional Services LLC

  • Primary Care Clinic/Center
  • Aibonito, PR
  • NPI 1558748798
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1790857563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1269",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051269",
            "telephone_number": "787-869-2626",
            "fax_number": "787-869-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 152, KM. 9.9",
            "address_2": "BO. CEDRO ARRIBA, SEC. ABANICO",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190000",
            "telephone_number": "787-869-2626",
            "fax_number": "787-869-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLGUIN SOTO",
        "first_name": "GEORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011037",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORGE",
            "last_name": "HOLGUIN SOTO",
            "middle_name": "L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dayma Hernandez
• Dielitza Liz Hernandez, MS
• Jose Victor Hernandez
• Juanita Hernandez
• Maria Del Carmen Hernandez, MD
• Ir Xolutions LLC
• Maria M Irizarry Toledo, DMD
• Jose Luis Isaac, MSN
• Jorge Nieves Ortega Dba Trauma Care Unit Ambulance Service (Trauma Care Unit Ambulance Service)
• Laboratorio Clinico Central Naranjito, PSC.

• General Practice Physician in Naranjito, PR
• Providers in Naranjito, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.