Individual provider Active NPI

Aileen M Cordero Soto, MD

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1871798256
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19224 Issued in PR
Practice address
5 Calle Barbosa
Isabela, PR 00662-2956
Phone
(939) 313-0501
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083A0300X 19224 PR
General Practice Physician 208D00000X 1002 FL
General Practice Physician 208D00000X 19224 PR Primary

Addresses

Primary practice location

5 Calle Barbosa
Isabela, PR 00662-2956

Mailing address

PO Box 2480
Isabela, PR 00662-9480
Phone (939) 313-0501

Other practice location 1

520 W Lake Mary Blvd Ste 214
Sanford, FL 32773-7424
Phone (407) 507-6058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160314001343 PR Practitioner - General Practice 0042516262 Reassigns benefits to 1 organization
Practice locations: Isabela, PR
I20250625000333 FL Practitioner - General Practice 0042516262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

520 W Lake Mary Blvd
Suite 214
Sanford, FL 32773-7424
Phone (407) 507-6058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19224PRMDGeneral Practice Physician
1002FLMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Management Consulting Group Corp Single Specialty CurrentSince Sep 23, 2024 Accepting new patients
Horizon Health Management & Consulting Group of Florida Single Specialty CurrentSince Jun 13, 2025 Accepting new patients
Servicios de Salud Primarios de Barceloneta, Inc. Past Accepting new patients

Locations

520 W Lake Mary Blvd
Ste 214
Sanford, FL 32773
Phone (407) 507-6058

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23342/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1871798256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2480",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006629480",
            "telephone_number": "939-313-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE BARBOSA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622956",
            "telephone_number": "939-313-0501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 W Lake Mary Blvd Ste 214",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327737424",
            "country_code": "US",
            "telephone_number": "407-507-6058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDERO SOTO",
        "first_name": "AILEEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "PR",
            "license": "19224",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "1002",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.