Doctor Name: | DR. VLADIMIR SOTO RIVERA |
NPI Number: | 1326274531 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17405 |
Business Practice Address: | Street 5 C-20 Urb. Rio Sol Penuelas, PR - 00624 |
Business Phone Number: | 7874574657 |
Business Fax Number: | |
Mailing Address: | Street 5 C-20 Urb. Rio Sol, PENUELAS |
State: | PR |
Postal Code: | 00624 |
Phone Number: | 7874574657 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2009 |
NPI Last Update Date: | 06/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |