MEDICARE: BETSY SOTO CORTES

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	183700000X	Pharmacy Technician	3988	PR

General Provider Information

NPI Number	:	1134273436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETSY SOTO CORTES

Provider Business Mailing Address
First Line	:	HC 7 BOX 70465
Second Line	:
City	:	SAN SEBASTIAN
State	:	PR
Zip	:	00685-7121
Country	:	US
Telephone Number	:	787-926-0936
Fax Number	:

Provider Business Practice Location Address
First Line	:	BARRIO CULEBRINA CARRETERA 435 KM 0
Second Line	:
City	:	SAN SEBASTIAN
State	:	PR
Zip	:	00685-9998
Country	:	US
Telephone Number	:	787-896-1212
Fax Number	:

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

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	12/29/2008

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Directions to “ BETSY SOTO CORTES ” Practice Location

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