=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780459438
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | YOSVANI SOTO SANCHEZ ARNP,FNP
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/21/2023
-----------------------------------------------------
Last Update Date | 03/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11329 WEST AVE
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78213-1341
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-886-8666
-----------------------------------------------------
Fax | 210-886-8667
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11329 WEST AVE
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78213-1341
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-886-8666
-----------------------------------------------------
Fax | 210-886-8667
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 1150851
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------