Individual
ANDRES GERARDO SOTO BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2541 FENTON AVE, BRONX, NY 10469-5602
(347) 591-8809
Mailing address
2541 FENTON AVE, BRONX, NY 10469-5602
(347) 591-8809
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000058951
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
02/10/2026
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