Individual
MARIELYS SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 COOP VILLA NAVARRA APT F, SANTA JUANITA, BAYAMON, PR 00956-5415
(787) 457-3667
Mailing address
15 COOP VILLA NAVARRA APT F, SANTA JUANITA, BAYAMON, PR 00956-5415
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
5718
PR
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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