| Dr Soto Medical Psc | |
|
Edificio Plaza Quintana Carr 111 Km 11.5 Bo Capa Moca PR 00676 | |
| (787) 658-6142 | |
| Not Available |
| Full Name | Dr Soto Medical Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | Edificio Plaza Quintana, Moca, Puerto Rico |
| Authorized Official Name and Position | Jaime A Soto Carril (PRESIDENT) |
| Authorized Official Contact | 7876342917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Soto Medical Psc Hc2 Box 120697 Moca PR 00676 Ph: (787) 634-2917 | Dr Soto Medical Psc Edificio Plaza Quintana Carr 111 Km 11.5 Bo Capa Moca PR 00676 Ph: (787) 658-6142 |
| NPI Number | 1558914853 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 07/17/2019 |
| Medicare PECOS PAC ID | 6901135144 |
|---|---|
| Medicare Enrollment ID | O20190912002103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558914853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jaime A Soto Carril |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477912301 PECOS PAC ID: 8820371115 Enrollment ID: I20170211000071 |
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