Healthcare Provider Details

I. General information

NPI: 1861254500
Provider Name (Legal Business Name): ASLIN IVETTE SOTO RAMOS PATOLOGA DEL HABLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. ASLIN IVETTE SOTO

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 111 KL 12.1 BO CAPA SECTOR BOSQUES CARR 112 BO ROCHA
MOCA PR
00676
UM

IV. Provider business mailing address

HC 2 BOX 23663
SAN SEBASTIAN PR
00685-9288
US

V. Phone/Fax

Practice location:
  • Phone: 787-591-6465
  • Fax:
Mailing address:
  • Phone: 787-519-6465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4567
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: