Individual
MAIKEL SOTO LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BABS
Contact information
Practice address
604 SW 67TH AVE, MIAMI, FL 33144-3606
(305) 588-2905
Mailing address
604 SW 67TH AVE, MIAMI, FL 33144-3606
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
03/15/2022
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