MEDICARE: MARIA DE LOS ANGELES RENTA-SOTO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	28980-R	PR

General Provider Information

NPI Number	:	1073869368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DE LOS ANGELES RENTA-SOTO M.D.

Provider Business Mailing Address
First Line	:	URB CAMINO DEL SUR 421
Second Line	:	RUISENOR
City	:	PONCE
State	:	PR
Zip	:	00716-2826
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB CAMINO DEL SUR 421
Second Line	:	RUISENOR
City	:	PONCE
State	:	PR
Zip	:	00716-2826
Country	:	US
Telephone Number	:	787-475-4397
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2012
Last Update Date	:	07/24/2012

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Directions to “ MARIA DE LOS ANGELES RENTA-SOTO M.D.” Practice Location

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