Healthcare Provider Details

I. General information

NPI: 1992773147
Provider Name (Legal Business Name): FELIX M. CARATINI SOTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2006
Last Update Date: 04/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 CALLE JOSE I QUINTON
COAMO PR
00769-3041
US

IV. Provider business mailing address

PO BOX 38
COAMO PR
00769-0038
US

V. Phone/Fax

Practice location:
  • Phone: 787-825-9144
  • Fax: 787-825-9144
Mailing address:
  • Phone: 787-825-9144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number11854
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number11854
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: