Healthcare Provider Details

I. General information

NPI: 1225006273
Provider Name (Legal Business Name): DR. AUREA N SOTO ACEVEDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE ARZUAGA #112 RIO PIEDRAS
SAN JUAN PR
00925
US

IV. Provider business mailing address

COND. REGENCY PARK EDIFICIO 7G
GUAYNABO PR
00971
US

V. Phone/Fax

Practice location:
  • Phone: 787-767-8758
  • Fax: 844-759-2967
Mailing address:
  • Phone: 787-257-8379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number10242
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: