Individual provider Active NPI

Luis F Sotomayor, MD

  • Internal Medicine Physician
  • Hatillo, PR
National Provider Identifier
1851462691
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13493 Issued in PR
Practice address
Ave. Dr. Susoni
# 284 B
Hatillo, PR 00659
Phone
(787) 898-3387
Fax
(787) 898-3387
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13493 PR Primary

Addresses

Primary practice location

Ave. Dr. Susoni
# 284 B
Hatillo, PR 00659

Mailing address

12 Calle E
Reparto Martel
Arecibo, PR 00612-4216
Phone (787) 898-3387

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
I20031128000004 PR Practitioner - Internal Medicine 5890690234 Practice locations: Bayamon, PR; Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 2 Bo Cotto Norte
KM 477
Manati, PR 00674
Phone (787) 854-3322

Hospital & facility affiliations

  • Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13493PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Vida Medical Group Hatillo Corp Internal Medicine Past Accepting new patients
Doctors Center Hospital Inc Past Accepting new patients
Sotomayor Hospital Services PSC Internal Medicine Past Accepting new patients
La Vida Medical Group Hatillo Corp Past Accepting new patients

Organizations & group practices 4

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1851462691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CALLE E",
            "address_2": "REPARTO MARTEL",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124216",
            "telephone_number": "787-898-3387",
            "fax_number": "787-898-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. DR. SUSONI",
            "address_2": "# 284 B",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-898-3387",
            "fax_number": "787-898-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOMAYOR",
        "first_name": "LUIS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

Verify at the official NPI Registry.