# OMAR SOTO REYES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Soto's Medical Transport
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528083789
- **Authorized official:** MR. OMAR SOTO (OWNER)
- **Authorized official phone:** (787) 607-0934

## Contact information

- **Practice address:** CARR \# 2 KM 117.6, BO CEIBA BAJA, AGUADILLA, PR 00603
- **Practice address phone:** (787) 891-2173
- **Practice address fax:** (787) 891-2173
- **Mailing address:** HC-04 BOX 45293, AGUADILLA, PR 00603
- **Mailing address phone:** (787) 891-2173
- **Mailing address fax:** (787) 891-2173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB339 | PR | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 890518 | MMM | PR |