Healthcare Provider Details

I. General information

NPI: 1730309303
Provider Name (Legal Business Name): MILAGROS SOTO R.PH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 CALLE JULIO ANDINO VILLA PRADES
SAN JUAN PR
00924-2252
US

IV. Provider business mailing address

525 CALLE BOURET
SAN JUAN PR
00912-3916
US

V. Phone/Fax

Practice location:
  • Phone: 787-751-0565
  • Fax: 787-763-1263
Mailing address:
  • Phone: 787-982-2513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3598
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: