Individual
DR. JESSICA N. PORTELA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CARR 4449 KM 1.4 AVE AGUSTIN RAMOS CALERA, CIMA ISABELA, ISABELA, PR 00662
(787) 710-2532
Mailing address
PO BOX 51502, TOA BAJA, PR 00950-1502
(787) 710-2532
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17,389
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17389
JUNTA DE LIC DE PR
PR
Enumeration date
11/13/2008
Last updated
06/26/2019
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