Individual
MR. CARLOS HUMBERTO SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
201 CEDAR ST SE STE 6600, ALBUQUERQUE, NM 87106-5411
(505) 724-3208
(505) 724-4384
Mailing address
201 CEDAR ST SE STE 6600, ALBUQUERQUE, NM 87106-5411
(505) 724-3208
(505) 724-4384
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2013-0035
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92522041
—
NM
Enumeration date
09/07/2007
Last updated
07/16/2015
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