Ian Jose Soto Diez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3535 Issued in PR

Practice address

50 Ave Luis Munoz Marin Ste 302
Caguas, PR 00725-3981

Phone

(787) 361-7775

NPI assigned

May 16, 2024

Last updated

Sep 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1841049418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AVE LUIS MUNOZ MARIN STE 302",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253981",
            "telephone_number": "787-361-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AVE LUIS MUNOZ MARIN STE 302",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253981",
            "telephone_number": "787-361-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO DIEZ",
        "first_name": "IAN",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3535",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sono X Ray Radiology Group (Quadrangle Imaging Center)
• Sono X Ray Radiology Group (Quadrangle Imaging Center)
• Sos Acute Care LLC
• Stephanie Sosa Cruz
• Ivan J Sosa Gonzalez, M.D.
• Franchesca Mary Soto Gonzalez
• Daniel A. Soto Lopez, MS
• Ian R Soto Lopez, MD
• Cristina Andrea Soto Padua
• Jose J. Soto Sola, M.D.

• General Practice Dentistry in Caguas, PR
• Providers in Caguas, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; 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.