Provider Demographics
NPI:1730498759
Name:SOTO, NATALIA M (MD)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:M
Last Name:SOTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-0151
Mailing Address - Country:US
Mailing Address - Phone:787-431-5421
Mailing Address - Fax:
Practice Address - Street 1:60 CALLE DOCTOR BASORA
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-833-8352
Practice Address - Fax:787-833-8352
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-26
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18055208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice