=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285762799
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOHERA CORP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR. #3 KM. 85.6 BO. CANDELERO ARRIBA
-----------------------------------------------------
City | HUMACAO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00791
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-850-7503
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 890 PMB 401
-----------------------------------------------------
City | HUMACAO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00792-0890
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-850-7503
-----------------------------------------------------
Fax | 787-850-0171
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SONIA M. HERNANDEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 787-850-7503
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 07-F-0607
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------