MEDICARE: DR. ANA H. MEJIAS - SOTO MD

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	207W00000X	Ophthalmology Physician	11728	PR

General Provider Information

NPI Number	:	1164409785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANA H. MEJIAS - SOTO MD

Provider Business Mailing Address
First Line	:	PO BOX 29207
Second Line	:	OFTALMOLOGIA HUPR
City	:	SAN JUAN
State	:	PR
Zip	:	00929-0207
Country	:	US
Telephone Number	:	787-757-1800
Fax Number	:	787-757-1806

Provider Business Practice Location Address
First Line	:	CARR 3 KM 8.3 AVE 65 DE INFTANTERIA
Second Line	:	HOSPITAL DE LA UPR DR. FEDERICO TRILLA
City	:	CAROLINA
State	:	PR
Zip	:	00984
Country	:	US
Telephone Number	:	787-757-1800
Fax Number	:	787-757-1806

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

Provider Enumeration Date	:	12/23/2005
Last Update Date	:	05/21/2019

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