MEDICARE: LUZ KATHERINE SOTO RIVERA

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	225X00000X	Occupational Therapist	0478	PR

General Provider Information

NPI Number	:	1891587887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUZ KATHERINE SOTO RIVERA

Provider Business Mailing Address
First Line	:	PO BOX 1472
Second Line	:
City	:	LAS PIEDRAS
State	:	PR
Zip	:	00771-1472
Country	:	US
Telephone Number	:	787-210-7856
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 1472
Second Line	:
City	:	LAS PIEDRAS
State	:	PR
Zip	:	00771-1472
Country	:	US
Telephone Number	:	787-210-7856
Fax Number	:

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

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	05/19/2025

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Directions to “ LUZ KATHERINE SOTO RIVERA ” Practice Location

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