Jenlis Yajaira Soriano Caraballo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

024113 Issued in PR

Practice address

311 Calle Pio Baroja Urb. El Senorial
San Juan, PR 00926-6910

Phone

(787) 905-6845

NPI assigned

Apr 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1891490637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CALLE PIO BAROJA URB. EL SENORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266910",
            "telephone_number": "787-905-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CALLE PIO BAROJA URB. EL SENORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266910",
            "telephone_number": "787-905-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO CARABALLO",
        "first_name": "JENLIS",
        "middle_name": "YAJAIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "024113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan W Sonni, MS
• Sono Express
• Sonocardio Imaging, Inc
• Soomos Inc
• Sophrosyne Medical Alliance LLC
• Axel Alexander Sosa Maldonado, DC
• Miguel Sosa-Padilla, MD
• Candelario A Sosa, MD MPH
• Gloria Maria Sosa, M.D.
• Irmaly Sosa, MA

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.