Active NPI
Ivette Soto Toledo, PT
- Physical Therapist
- Lares, PR
National Provider Identifier
1972689529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1008
- Practice address
- Carr 129 L, 21 HM 9 Bo Callejones Lares
Lares, PR 00669-0819 - Phone
- (787) 897-6611
- Fax
- (787) 897-6611
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1008 | PR | Primary |
Addresses
Primary practice location
Carr 129 L, 21 HM 9 Bo Callejones Lares
Lares, PR 00669-0819
Mailing address
PO Box 819
Lares, PR 00669-0819
Phone (787) 897-6611
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50053 | Other | PREFERED MEDICARE CHOICE | |
| 56765 SO | Other | MEDICARE OPTIMO | |
| 56765 SO | Other | MEDICARE SELECTO | |
| 3304272 | Other | ACAA | |
| 4562405 | Other | FAMILY CARE | |
| 660651790 | Medicaid | PR | |
| P804 | Other | FIRST MEDICAL | |
| 6690048 | Other | HUMANA | |
| 56765 | Other | TRIPLE C | |
| 870056 | Other | MEDICARE MUCHO MAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120316000405 | PR | Practitioner - Physical Therapist in Private Practice | 3971762592 | Practice locations: Lares, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Carr 129 KM 21 HM
9 Bo Callejones
Lares, PR 00669-0819
Phone (787) 897-6611
PO Box
Lares, PR 00669-0819
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1008 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1972689529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 819",
"city": "LARES",
"state": "PR",
"postal_code": "006690819",
"telephone_number": "787-897-6611",
"fax_number": "787-897-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 129 L, 21 HM 9 BO CALLEJONES LARES",
"city": "LARES",
"state": "PR",
"postal_code": "006690819",
"telephone_number": "787-897-6611",
"fax_number": "787-897-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO TOLEDO",
"first_name": "IVETTE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERED MEDICARE CHOICE",
"identifier": "50053",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OPTIMO",
"identifier": "56765 SO",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SELECTO",
"identifier": "56765 SO",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACAA",
"identifier": "3304272",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY CARE",
"identifier": "4562405",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "660651790",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "P804",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "6690048",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE C",
"identifier": "56765",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MUCHO MAS",
"identifier": "870056",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lares, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.