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NPI Code Detail

MEDICARE: DR. NAHIR SOTO O.D.

MEDICARE: DR. NAHIR SOTO O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist715PR
2156FX1800XOptician828PR

General Provider Information

NPI Number : 1770906448
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAHIR SOTO O.D.
Provider Business Mailing Address
First Line : 109 CALLE REGENCIA
Second Line : PASEO REAL
City : COAMO
State : PR
Zip : 00769-9814
Country : US
Telephone Number : 787-406-3562
Fax Number : 939-697-6104
Provider Business Practice Location Address
First Line : 16 CALLE RAFAEL OCASIO
Second Line :
City : SALINAS
State : PR
Zip : 00751-3240
Country : US
Telephone Number : 787-824-1934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2014
Last Update Date : 03/24/2024

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