Organization
AGUADA INTERNAL MEDICINE SERVICE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ROBERTO SOTO MD. (ADMINISTRATOR)
(787) 431-9470
Entity
Organization
Contact information
Practice address
230 CALLE MARINA, AGUADA, PR 00602-3217
(787) 868-8200
(787) 868-8200
Mailing address
PO BOX 873, AGUADA, PR 00602-0873
(787) 868-8200
(787) 868-8200
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
16689
PR
Other
Enumeration date
01/28/2014
Last updated
10/27/2014
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