Individual
JUAN G SOTO VALERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1700 S 23RD ST FL 34950, FORT PIERCE, FL 34950-4803
(772) 461-4000
Mailing address
T17 CALLE 17 LEVITTOWN, URB LAGOS DE PLATA, TOA BAJA, PR 00949
(787) 674-5285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9415082
FL
367500000X
Certified Registered Nurse Anesthetist
124300
PR
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11002086
FL
Other
Enumeration date
10/15/2018
Last updated
09/02/2021
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