Healthcare Provider Details

I. General information

NPI: 1003795303
Provider Name (Legal Business Name): CAROLINA PEREZ SOTO RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 SE 6TH AVE STE 200-3
DELRAY BEACH FL
33483-5306
US

IV. Provider business mailing address

550 SE 6TH AVE 200-3
DELRAY BEACH FL
33483
US

V. Phone/Fax

Practice location:
  • Phone: 561-924-1763
  • Fax: 844-440-1829
Mailing address:
  • Phone: 561-924-1763
  • Fax: 844-440-1829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN9693471
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: