Individual provider Active NPI

Aixa Mariela Soto Ramos, MD

  • General Practice Physician
  • Cidra, PR
National Provider Identifier
1801524574
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22877 Issued in PR
Practice address
100 Ave El Jibaro
Cidra, PR 00739-3500
Phone
(787) 739-6688
NPI assigned
Aug 10, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 22877 PR Primary

Addresses

Primary practice location

100 Ave El Jibaro
Cidra, PR 00739-3500

Mailing address

PO Box 459
Cidra, PR 00739-0459
Phone (787) 739-6688

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
I20221105000113 PR Practitioner - General Practice 4880061811 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. CurrentSince Oct 5, 2022 Accepting new patients
Salud Integral En la Montana, Inc General Practice Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Oct 5, 2022 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc. General Practice Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Oct 5, 2022 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Oct 5, 2022 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Oct 5, 2022 Accepting new patients
RW Lab LLC CurrentSince Aug 14, 2022 Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1801524574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007390459",
            "telephone_number": "787-739-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE EL JIBARO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393500",
            "telephone_number": "787-739-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO RAMOS",
        "first_name": "AIXA",
        "middle_name": "MARIELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.