| Doctor Name: | DR. ANGEL RIVERA-SOTO |
| NPI Number: | 1255657375 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | P7698 |
| Business Practice Address: | 676 Fm 517 Rd W Dickinson, TX - 775393904 |
| Business Phone Number: | 7134824535 |
| Business Fax Number: | 7134824560 |
| Mailing Address: | Po Box 1619, DICKINSON |
| State: | TX |
| Postal Code: | 775391619 |
| Phone Number: | 7134824535 |
| Fax Number: | 7134824560 |
| NPI Enumeration Date: | 04/14/2010 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | P7698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |