Rafael Soto, M.D.
NPI 1932105665ActiveIndividual· General Practice· Toa Baja, PR
General Practice (M.D.) in Toa Baja, Puerto Rico, licensed in PR, with an NPI issued in June 2005. Their prescriptions cost Medicare Part D more than their services did: $3,156,238 for 38,198 claims, against $6,369 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 9 companies reporting payments in 2025, $543.28 in all, mostly food and beverage.
Overview
| NPI | 1932105665 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 27, 2005 |
| Last updated in NPPES | Dec 30, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 13921 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 144 across 5 procedure codes |
| Paid by Medicare | $6,369 |
Part D prescriptions in 2024
| Prescriptions (claims) | 38,198 · 73,371 30-day fills |
|---|---|
| Patients | 1,520 |
| Total drug cost | $3,156,238 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | General Practice |
| Telehealth | Offers telehealth |
Other facilities
- Programa de Servicios de Salud En El Hogar y Hospicio San Lucas IncHospice · Ponce, PR
Industry payments (Open Payments)
- 2025$543.28 · 31 payments from 9 companies
- 2024$666.06 · 43 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $269.03 | 20 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $57.14 | 2 |
| Pbg Puerto Rico LLC | $47.86 | 2 |
| Merck Sharp & Dohme LLC | $41.24 | 2 |
| Dexcom, Inc. | $28.13 | 1 |
What the 2025 payments were for
- Food and Beverage$543.28 · 31 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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