Individual
DR. ISMAEL SANTIAGO SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22217
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14641-I
PUERTO RICO MEDICAL DISCIPLINE AND LICENSURE BOARD
PR
01
—
22217
PUERTO RICO MEDICAL DISCIPLINE AND LICENSURE BOARD
PR
Enumeration date
12/27/2017
Last updated
08/26/2024
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