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Physician Compare National (NPI:1386690360)

HEALTHCARE PROVIDER: HECTOR LUIS SOTO M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1386690360
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4880640770
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101208000911
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SOTO
Individual professional last name
Provider First Name HECTOR
Individual professional first name
Provider Middle Name L
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1987
Individual professional's medical school graduation year
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name RENAISSANCE CARDIOLOGY GROUP
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 9830323138
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 26
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1200 E SAVANNAH AVE
Group Practice or individual's line 1 address
Marker of address line 2 suppression Y
Marker that address as reported may be incomplete
City MCALLEN
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 785031728
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 450869
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 DOCTORS HOSPITAL AT RENAISSANCE
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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