Healthcare Provider Details

I. General information

NPI: 1821883935
Provider Name (Legal Business Name): CHRISTIAN GERALDO SOTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 70344
SAN JUAN PR
00936-8344
US

IV. Provider business mailing address

PO BOX 173
AGUIRRE PR
00704-0173
US

V. Phone/Fax

Practice location:
  • Phone: 787-480-3838
  • Fax:
Mailing address:
  • Phone: 787-246-6902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number37531-R
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: