Individual provider Active NPI

Oscar Soto Raices, MD

  • Rheumatology Physician
  • San Juan, PR
National Provider Identifier
1962441717
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
13783 Issued in PR
Practice address
576 Calle Cesar Gonzalez
Suite 101 a
San Juan, PR 00918-3756
Phone
(787) 765-9034
Fax
(787) 765-1274
NPI assigned
Jun 6, 2006
Last updated
Oct 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 13783 PR Primary

Addresses

Primary practice location

576 Calle Cesar Gonzalez
Suite 101 a
San Juan, PR 00918-3756

Mailing address

576 Calle Cesar Gonzalez
Suite 101 a
San Juan, PR 00918-3756
Phone (787) 765-9034

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
I20040203000416 PR Practitioner - RheumatologyPractitioner - Internal Medicine 1254224462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Rheumatix LLCGroup PAC ID 8527494996, 2 clinicians

Practice addresses (Care Compare)

576 Ave Cesar Gonzalez
Suite 101a
San Juan, PR 00918
Phone (787) 765-9034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Rheumatix LLC Rheumatology CurrentSince Jul 29, 2019 Accepting new patients
Dr. Paloma Alejandro Silva PSC Rheumatology CurrentSince Sep 5, 2023 Accepting new patients
Ponce Medical School Foundation Inc Past Accepting new patients
Radiology Associates of Clearwater PastSince Aug 15, 2021 Accepting new patients

Locations

576 Calle Cesar Gonzalez
Ste 101A
San Juan, PR 00918
Phone (787) 765-9034

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1962441717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 CALLE CESAR GONZALEZ",
            "address_2": "SUITE 101 A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183756",
            "telephone_number": "787-765-9034",
            "fax_number": "787-765-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 CALLE CESAR GONZALEZ",
            "address_2": "SUITE 101 A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183756",
            "telephone_number": "787-765-9034",
            "fax_number": "787-765-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO RAICES",
        "first_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "13783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.