Healthcare Provider Details

I. General information

NPI: 1588302525
Provider Name (Legal Business Name): DANIEL OBED AROCHO SOTO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 306
BAYAMON PR
00960-0306
US

IV. Provider business mailing address

1353 AVE LUIS VIGOREAUX PMB 245
GUAYNABO PR
00966
US

V. Phone/Fax

Practice location:
  • Phone: 787-406-5448
  • Fax:
Mailing address:
  • Phone: 787-406-5448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number17737-I
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: