Active NPI
Andres Soto
- Contractor
- Tucson, AZ
National Provider Identifier
1841668340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 7128997
- Practice address
- 414 W Veterans Blvd
Tucson, AZ 85713-6028 - Phone
- (520) 269-0775
- Fax
- (520) 884-0383
- NPI assigned
- Sep 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 7128997 | AZ | Primary |
Addresses
Primary practice location
414 W Veterans Blvd
Tucson, AZ 85713-6028
Mailing address
414 W Veterans Blvd
Tucson, AZ 85713-6028
Phone (520) 269-0775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7128997 | AZ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1841668340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 W VETERANS BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136028",
"telephone_number": "520-269-0775",
"fax_number": "520-884-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 W VETERANS BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136028",
"telephone_number": "520-269-0775",
"fax_number": "520-884-0383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "ANDRES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-14",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "7128997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.