Individual
DR. JOHANNIS SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8011 CALLE CONCORDIA, APT. 2, PONCE, PR 00717
(787) 219-2604
Mailing address
PO BOX 336810, PONCE, PR 00733-6810
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29572R
PR
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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