Individual provider Active NPI

Guillermo Eliezer Soto Martinez, M.D.

  • Internal Medicine Physician
  • Las Marias, PR
National Provider Identifier
1801320247
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19599 Issued in PR
Practice address
Carretera 120 KM 0.1
Las Marias, PR 00670-0371
Phone
(787) 827-8177
Fax
(787) 827-8178
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19599 PR
Internal Medicine Physician 207R00000X 19599 PR Primary

Addresses

Primary practice location

Carretera 120 KM 0.1
Las Marias, PR 00670-0371

Mailing address

PO Box 371
Las Marias, PR 00670-0371
Phone (787) 827-8177

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
I20180102000649 PR Practitioner - General Practice 6406114198 Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Ponce School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Calle Sol
San German, PR 00683-3949
Phone (787) 892-1333

Hospital & facility affiliations

  • Hospital Perea Hospital, Mayaguez, PR, CCN 400123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19599PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comunidad Saludable de la Montana CurrentSince Apr 1, 2018 Accepting new patients
Southwest Health Corp. Past Accepting new patients
Hospital de la Concepcion Inc Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1801320247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006700371",
            "telephone_number": "787-827-8177",
            "fax_number": "787-827-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 120 KM 0.1",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006700371",
            "telephone_number": "787-827-8177",
            "fax_number": "787-827-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO MARTINEZ",
        "first_name": "GUILLERMO",
        "middle_name": "ELIEZER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19599",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Marias, PR

Sources for this page

Verify at the official NPI Registry.