Provider Demographics
NPI:1861254500
Name:SOTO RAMOS, ASLIN IVETTE (PATOLOGA DEL HABLA)
Entity type:Individual
Prefix:MS
First Name:ASLIN
Middle Name:IVETTE
Last Name:SOTO RAMOS
Suffix:
Gender:F
Credentials:PATOLOGA DEL HABLA
Other - Prefix:MS
Other - First Name:ASLIN
Other - Middle Name:IVETTE
Other - Last Name:SOTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 23663
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-9288
Mailing Address - Country:US
Mailing Address - Phone:787-519-6465
Mailing Address - Fax:
Practice Address - Street 1:CARR 111 KL 12.1 BO CAPA SECTOR BOSQUES
Practice Address - Street 2:CARR 112 BO ROCHA
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:UM
Practice Address - Phone:787-591-6465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4567246Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology