Healthcare Provider Details

I. General information

NPI: 1497947428
Provider Name (Legal Business Name): ROSE M SOTO ARROYO M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 CALLE AVALON ESTANCIAS DE FLORIDA
BARCELONETA PR
00617-3066
US

IV. Provider business mailing address

ESTANCIAS DE FLORIDA CALLE AVALON #119
BARCELONETA PR
00617
US

V. Phone/Fax

Practice location:
  • Phone: 787-384-7422
  • Fax:
Mailing address:
  • Phone: 787-384-7422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number6243
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: