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NPI Code Detail

MEDICARE: DR. ZASHARY SCARPELLIE MIRANDA SOTO

MEDICARE: DR. ZASHARY SCARPELLIE MIRANDA 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1861284598
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZASHARY SCARPELLIE MIRANDA SOTO
Provider Business Mailing Address
First Line : 576 AVE ARTERIAL B APT 1509
Second Line :
City : SAN JUAN
State : PR
Zip : 00918
Country : US
Telephone Number : 787-210-4811
Fax Number :
Provider Business Practice Location Address
First Line : 1400 PELHAM PKWY S FL 3
Second Line :
City : BRONX
State : NY
Zip : 10461-1197
Country : US
Telephone Number : 718-918-3419
Fax Number : 646-640-4165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2025
Last Update Date : 02/02/2026

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