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NPI Code Detail

MEDICARE: DR. ANA MERCEDES SOTO MD

MEDICARE: DR. ANA MERCEDES 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
1207Q00000XFamily Medicine Physician7997PR

General Provider Information

NPI Number : 1679558845
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANA MERCEDES SOTO MD
Provider Business Mailing Address
First Line : PO BOX 3974
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00681-3974
Country : US
Telephone Number : 787-384-3458
Fax Number : 787-254-2728
Provider Business Practice Location Address
First Line : 445 AVE GONZALEZ CLEMENTE
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00682-1136
Country : US
Telephone Number : 787-384-3458
Fax Number : 787-254-2728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2005
Last Update Date : 09/25/2007

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