Individual
YARITZA SOTO-HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 2 BAYAMON MEDICAL PLAZA, SUITE 505, BAYAMON, PR 00959
(787) 876-7415
Mailing address
100 AVE LAUREL, BAYAMON, PR 00956-4816
(787) 798-3001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22623
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
STUDENT
PR
Enumeration date
10/18/2018
Last updated
07/13/2023
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