MEDICARE: OMAR SOTO

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	164X00000X	Licensed Vocational Nurse	1016566	TX

General Provider Information

NPI Number	:	1639771819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMAR SOTO

Provider Business Mailing Address
First Line	:	444 EXECUTIVE BLVD
Second Line	:	#148
City	:	EL PASO
State	:	TX
Zip	:	79902
Country	:	US
Telephone Number	:	915-213-1289
Fax Number	:

Provider Business Practice Location Address
First Line	:	3710 SAVANNAH AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79930-5218
Country	:	US
Telephone Number	:	915-838-5205
Fax Number	:

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

Provider Enumeration Date	:	11/12/2020
Last Update Date	:	11/12/2020

Similar Medicare Providers

1346850062 — MRS. AMANDA GEILENFELDT LPC
Practice Location Address:

1613 LARRY WADKINS DR
EL PASO, TX
79936-5218

Practice Phone: 505-228-6489
Practice Fax:

1053072546 — ROCIO FERNANDEZ LCDC
Practice Location Address:

813 N KANSAS ST STE 200
EL PASO, TX
79902-5218

Practice Phone: 915-271-8971
Practice Fax:

1952022337 — HARMONY ROAD RECOVERY LLC
Practice Location Address:

813 N KANSAS ST STE 200
EL PASO, TX
79902-5218

Practice Phone: 915-271-8971
Practice Fax: 915-900-5478

1043194384 — MR. LUIS RAFAEL MARTINEZ
Practice Location Address:

301 S GLENWOOD ST
EL PASO, TX
79905-5218

Practice Phone: 915-294-7316
Practice Fax:

1073559464 — SELMA YOUSIF YOUNAN DDS
Practice Location Address:

312 HIGHLAND AVE , STE. 102
EL CAJON, CA
92020-5218

Practice Phone: 619-440-0866
Practice Fax: 619-440-0817

1821367467 — DR. JONATHAN PETER SCHECHTER MD
Practice Location Address:

3823 GREENVIEW DR
EL DORADO HILLS, CA
95762-5218

Practice Phone: 916-933-2442
Practice Fax:

Directions to “ OMAR SOTO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.