Individual provider Active NPI

Jose R Soto Santiago, MD

  • Internal Medicine Physician
  • Barceloneta, PR
National Provider Identifier
1962966846
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24109 Issued in PR
Practice address
10 Calle Georgetti
Barceloneta, PR 00617-2714
Phone
(787) 977-0707
NPI assigned
Jan 25, 2019
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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 24109 PR Primary

Addresses

Primary practice location

10 Calle Georgetti
Barceloneta, PR 00617-2714

Mailing address

10 Calle JJ
Jardines de Arecibo
Arecibo, PR 00612
Phone (787) 209-9430

Other practice location 1

MMC Profesional Plaza
Suite 409
Manati, PR 00674
Phone (787) 884-4828

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
I20250422003675 PR Practitioner - Internal Medicine 7214452283 Practice locations: Barceloneta, PR; Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Calle Hernandez Carrion
Suite 409
Manati, PR 00674-4652
Phone (787) 844-4828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24109PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico del Norte Inc Past Accepting new patients
Dorado Health Inc Past Accepting new patients

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

Hospital & facility affiliations 2

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": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1962966846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE JJ",
            "address_2": "JARDINES DE ARECIBO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-209-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE GEORGETTI",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172714",
            "telephone_number": "787-977-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "MMC Profesional Plaza",
            "address_2": "Suite 409",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-884-4828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO SANTIAGO",
        "first_name": "JOSE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-25",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "24109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

Verify at the official NPI Registry.