Organization
EDIBERTO SOTO-CORA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDIBERTO SOTO-CORA M.D. (OWNER)
(915) 591-7495
Entity
Organization
Contact information
Practice address
1139 CAPER RD, EL PASO, TX 79925-7739
(915) 591-7495
(915) 592-5623
Mailing address
5959 GATEWAY BLVD W, STE. 120, EL PASO, TX 79925-3331
(915) 779-1716
(915) 771-6558
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J12G
BCBS
TX
05
—
123136704
—
TX
Enumeration date
07/29/2006
Last updated
09/22/2008
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