Individual
MR. OMAR SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR. # 2 KM 117.6, SECTOR CEIBA BAJA, AGUADILLA, PR 00603
(787) 891-2173
Mailing address
HC 8 BOX 45293, AGUADILLA, PR 00603-9772
(787) 891-2173
(787) 891-2173
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TCAMB339
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057169
PROVIDER MEDICARE
PR
01
—
50620
PMC
PR
01
—
890518
MMM
PR
Enumeration date
10/07/2008
Last updated
10/07/2008
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