Individual provider Active NPI

Edmee M Soltero-Venegas, M.D.

  • Surgery Physician
  • San Juan, PR
National Provider Identifier
1861522674
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9922 Issued in PR
Practice address
400 Ave Domenech
Suite 402 Las Americas Proff. Center
San Juan, PR 00918-3710
Phone
(787) 282-3261
Fax
(787) 767-1288
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9922 PR Primary

Addresses

Primary practice location

400 Ave Domenech
Suite 402 Las Americas Proff. Center
San Juan, PR 00918-3710

Mailing address

PO Box 367901
San Juan, PR 00936-7901
Phone (787) 282-3261

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
I20110623000046 PR Practitioner - General SurgeryPractitioner - Other (Physician) 9739367798 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Puerto Rico School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stereotactic Breast Center PSCGroup PAC ID 8325221955, 3 clinicians

Practice addresses (Care Compare)

1845 Carr
2 Suite 201
Bayamon, PR 00959-7203
Phone (787) 740-2120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy14
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stereotactic Breast Center PSC CurrentSince Jan 23, 2018 Accepting new patients
Asociacion de Maestros de P R CurrentSince Dec 15, 2016 Accepting new patients

Locations

158 Calle Ramos Antonini E
Mayaguez, PR 00680
Phone (787) 831-3130

Interoperability endpoints

  • Direct secure messaging: sjcesolter@yourcarecommunity.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1861522674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367901",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367901",
            "telephone_number": "787-282-3261",
            "fax_number": "787-767-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE DOMENECH",
            "address_2": "SUITE 402 LAS AMERICAS PROFF. CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183710",
            "telephone_number": "787-282-3261",
            "fax_number": "787-767-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTERO-VENEGAS",
        "first_name": "EDMEE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.