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NPI Code Detail

MEDICARE: DR. ASHLEY MAR FERNANDINI SOTO MD

MEDICARE: DR. ASHLEY MAR FERNANDINI 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1457283996
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLEY MAR FERNANDINI SOTO MD
Provider Business Mailing Address
First Line : HC 6 BOX 2040
Second Line :
City : PONCE
State : PR
Zip : 00731-9602
Country : US
Telephone Number : 787-599-7779
Fax Number :
Provider Business Practice Location Address
First Line : 410 AVE HOSTOS
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00682-1560
Country : US
Telephone Number : 787-652-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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