Rafael Soto, M.D.
NPI 1932105665 · General Practice Physician · Toa Baja, PR
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Soto, M.D. is a General Practice Physician provider in Toa Baja, PR (NPI 1932105665).
Provider details
- NPI number
- 1932105665
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13921 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
126 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 126 | $56 |
Typical Medicare-allowed amounts for these services range $56–$56 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 301 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 1,510 | 373 |
| Losartan Potassium | 1,213 | 336 |
| Atorvastatin Calcium | 1,187 | 346 |
| Levothyroxine Sodiumbrand: Synthroid | 1,079 | 260 |
| Simvastatin | 1,005 | 298 |
| Amlodipine Besylate | 992 | 291 |
| Pantoprazole Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$666 across 24 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-06-27
- Last updated
- 2016-12-30
Frequently asked questions
- What is Rafael Soto's NPI number?
- Rafael Soto's National Provider Identifier (NPI) is 1932105665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Soto's specialty?
- Rafael Soto is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Soto located?
- Rafael Soto's practice location on file with NPPES is Ave. Boulevard # 3326, Toa Baja, PR 00949.
- What is Rafael Soto's phone number?
- The practice phone number listed in the NPPES registry for Rafael Soto is (787) 784-7200.
- Does Rafael Soto accept Medicare?
- Rafael Soto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Soto's NPI active?
- Yes — Rafael Soto's NPI (1932105665) is active in the NPPES registry as of the last update on 2016-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.