Wilfredo Soto Fuentes, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

24081 Issued in PR

Practice address

Carr PR 506 KM 1.0
Bo Coto Laurel
Ponce, PR 00780-0000

Phone

(787) 848-2100

NPI assigned

Jun 5, 2023

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

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

Specialty

General Practice

Education

San Juan Bautista School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Menonita Ponce, IncGroup PAC ID 1759753668, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Menonita Ponce Hospital, Ponce, PR, CCN 400113

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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 Menonita Ponce Inc

  • Specialist
  • Ponce, PR
  • NPI 1336859479

  General Practice

  Medicare reassignment Care Compare group NPD

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

• Hospital Menonita Ponce Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1235856253
  Care Compare affiliation

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1821782756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800501",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800501",
            "telephone_number": "787-848-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR 506 KM 1.0",
            "address_2": "BO COTO LAUREL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007800000",
            "telephone_number": "787-848-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO FUENTES",
        "first_name": "WILFREDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaileen Eunice Sosa Leon
• Elma Sosa, TRABAJADORA SOCIAL
• Lynette M Sosa, PSY.D
• Rafael Soto Acevedo, MD
• Ariadna Estefania Soto Bibiloni
• Paulette Teresa Soto Martinez, PSYD
• Brian Doel Soto Miranda
• Angieleana Soto Ramirez
• Rafael Jeudiel Soto Rivera, PSY.D
• Jessica Soto Roman, BA

• General Practice Physician in Ponce, PR
• Providers in Ponce, 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 Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.