Doctor Name: | RAFAEL SOTO |
NPI Number: | 1932105665 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 13921 |
Business Practice Address: | Ave. Boulevard # 3326 3ra Secc Levittown Toa Baja, PR - 00949 |
Business Phone Number: | 7877847200 |
Business Fax Number: | 7872619090 |
Mailing Address: | Pmb 167 Carr 693, 425 Suite 1 DORADO |
State: | PR |
Postal Code: | 00646 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/27/2005 |
NPI Last Update Date: | 04/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13921 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |