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Individual

IAN R SOTO LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
HIMA PLAZA I, SUITE 412A, CAGUAS, PR 00725
(787) 961-4626
(787) 961-4646
Mailing address
PO BOX 770, CAGUAS, PR 00726-0770
(787) 286-3273
(787) 746-4994

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13471
PR
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
13471
PR

Other

Enumeration date
11/07/2006
Last updated
04/26/2013
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