Active NPI
Wilda E Vega-Soto, M.D.
- General Practice Physician
- Toa Alta, PR
National Provider Identifier
1992909006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 12731
- Practice address
- 27 Monaco St
Estancias de la Fuente
Toa Alta, PR 00953 - Phone
- (787) 251-0951
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12731 | PR | Primary |
Addresses
Primary practice location
27 Monaco St
Estancias de la Fuente
Toa Alta, PR 00953
Mailing address
Est de la Fuente
Monaco St. 27
Toa Alta, PR 00953
Phone (787) 251-0951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12731 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992909006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EST DE LA FUENTE",
"address_2": "MONACO ST. 27",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-251-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 MONACO ST",
"address_2": "ESTANCIAS DE LA FUENTE",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-251-0951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA-SOTO",
"first_name": "WILDA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "12731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.