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RAFAEL SOTO M.D.
NPI 1932105665
General Practice in Toa Baja, PR

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
AVE. BOULEVARD # 3326, 3RA SECC LEVITTOWN, TOA BAJA, PR 00949(787) 784-7200(787) 261-9090 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rafael Soto M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFAEL SOTO M.D. (NPI 1932105665) is an individual general practice provider in Toa Baja, Puerto Rico, licensed in Puerto Rico (13921) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1932105665
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameRAFAEL SOTOCredential: M.D.
Location AddressAVE. BOULEVARD # 3326, 3RA SECC LEVITTOWNToa Baja, PR 00949
Mailing AddressPmb 167 Carr 693, 425 Suite 1Dorado, PR 00646
Phone(787) 784-7200
Fax(787) 261-9090
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 27, 2005
Last NPPES UpdateDecember 30, 2016
✔ NPI 1932105665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 13921
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
AVE. BOULEVARD # 3326, Toa Baja, PR 00949
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Other Identifiers 2

Medicare ID-Type Unspecified0084321PR
Medicare UPINH55735PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rafael Soto M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103895354
PECOS Enrollment IDI20040925000075
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
126 services34 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier14 claims14 services$197.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Soto's NPI number?

The NPI number for Rafael Soto is 1932105665. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Rafael Soto located?

Rafael Soto practices at Ave. Boulevard # 3326 3ra Secc Levittown, Toa Baja, PR 00949. The listed phone number is (787) 784-7200.

What is Rafael Soto's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Rafael Soto enrolled in Medicare?

Yes. Rafael Soto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rafael Soto was last updated on December 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.