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General NPI Number Information
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NPI Number | 1053099036
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Entity Type | Individual
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Provider Name | REBECA VERA SOTO MD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | CARR. 2, KM 141.1 AVENUE KENNEDY 18
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-658-0000
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Fax |
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Provider Business Mailing Address
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Address Line | CARR 2 KM 141.1 AVENUE KENNEDY 19
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 24224
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License Number State | PR
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