Individual
JEANDELIZE SOTO ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 AVE HOSTOS, MAYAGUEZ, PR 00682-1560
(787) 652-9200
Mailing address
CARR 420 KM 6.9 BO CERRO GORDO, MOCA, PR 00676
(939) 254-0424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35766-R
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/26/2018
Last updated
07/26/2022
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