Healthcare Provider Details

I. General information

NPI: 1225981665
Provider Name (Legal Business Name): JUDILIETTE ROSADO SOTO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR #2 KM 96.0 BO YEGUADA
CAMUY PR
00627
US

IV. Provider business mailing address

CARR #2 KM 96.0 BO YEGUADA
CAMUY PR
00627
US

V. Phone/Fax

Practice location:
  • Phone: 787-895-5702
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8450
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: