Healthcare Provider Details

I. General information

NPI: 1033008586
Provider Name (Legal Business Name): JOSE WILLIAM RICARDO SOTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985645 NEBRASKA MEDICAL CENTER
OMAHA NE
68198-5645
US

IV. Provider business mailing address

985645 NEBRASKA MEDICAL CENTER
OMAHA NE
68198-5645
US

V. Phone/Fax

Practice location:
  • Phone: 402-552-7928
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number10533
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: