MEDICARE: ANA VICTORIA SOTO-QUINTELA

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	207RC0000X	Cardiovascular Disease Physician	60264140	NY
2	207RC0000X	Cardiovascular Disease Physician	ME 126440	FL

General Provider Information

NPI Number	:	1639495534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA VICTORIA SOTO-QUINTELA

Provider Business Mailing Address
First Line	:	6200 SUNSET DR STE 401
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4829
Country	:	US
Telephone Number	:	305-666-4633
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 SUNSET DR STE 401
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4829
Country	:	US
Telephone Number	:	305-666-4633
Fax Number	:

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

Provider Enumeration Date	:	04/16/2010
Last Update Date	:	11/09/2020

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Directions to “ ANA VICTORIA SOTO-QUINTELA ” Practice Location

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