Individual
JAVIER AUGUSTO SOTO ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
13010 BISCAYNE ISLAND TER, NORTH MIAMI, FL 33181-2242
(212) 315-8235
Mailing address
13010 BISCAYNE ISLAND TER, NORTH MIAMI, FL 33181-2242
(212) 315-8235
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
HSE41315
FL
246ZC0007X
Surgical Assistant
21-509
FL
363A00000X
Physician Assistant
2820-P.A.
PR
363AS0400X
Surgical Physician Assistant
2820-P.A.
PR
Other
Enumeration date
03/26/2025
Last updated
11/12/2025
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