MEDICARE: MRS. ROSAURA MARGARITA SOTO R.N.

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	163W00000X	Registered Nurse	122323	CO

General Provider Information

NPI Number	:	1194977033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSAURA MARGARITA SOTO R.N.

Provider Business Mailing Address
First Line	:	12283 E. BEEKMAN PL.
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239
Country	:	US
Telephone Number	:	303-667-3493
Fax Number	:

Provider Business Practice Location Address
First Line	:	12283 E BEEKMAN PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-4371
Country	:	US
Telephone Number	:	303-667-3493
Fax Number	:

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

Provider Enumeration Date	:	10/22/2008
Last Update Date	:	08/23/2016

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