Ijac
NPI 1013455690ActiveOrganization· General Practice· Quebradillas, PR
General Practice in Quebradillas, Puerto Rico, registered in NPPES in February 2017. The authorized official on file is Jose Antonio Carrero Soto, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013455690 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2017 |
| Last updated in NPPES | Feb 3, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 13155 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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