Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Luis David Rivera Soto, PA-C

Individual provider Physician Assistant · NPI 1457014821

Luis David Rivera Soto, PA-C is a Physician Assistant in Longmont, Colorado. Qualified in 2021, 5 years ago. Practices with Urgent Medical Center Inc, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

201 Coffman St
Longmont, CO 80501-5918
Phone: (720) 577-5251
Fax: (720) 780-7057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6931 W Broward Blvd, Plantation, FL 33317-2902 — (954) 321-5191

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115235 (FL)

Record details

NPI number1457014821
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 21, 2021
Last updated in NPPESOctober 11, 2025
Certification dateOctober 11, 2025
Mailing address201 Coffman St, Longmont, CO 80501-5918

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Urgent Medical Center Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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