Provider Demographics
NPI:1144276676
Name:SOTO'S INTERNATIONAL ENTERPRISES INC
Entity type:Organization
Organization Name:SOTO'S INTERNATIONAL ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-476-5222
Mailing Address - Street 1:3140 O ST
Mailing Address - Street 2:STE 100
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1537
Mailing Address - Country:US
Mailing Address - Phone:402-476-5222
Mailing Address - Fax:402-476-5250
Practice Address - Street 1:3140 O ST
Practice Address - Street 2:STE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1537
Practice Address - Country:US
Practice Address - Phone:402-476-5222
Practice Address - Fax:402-476-5250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE48128201000Medicaid
NE48128201000Medicaid