1225006273 NPI number — DR. AUREA N SOTO ACEVEDO

Table of content: DR. AUREA N SOTO ACEVEDO (NPI 1225006273)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225006273 NPI number — DR. AUREA N SOTO ACEVEDO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SOTO ACEVEDO
Provider First Name:
AUREA
Provider Middle Name:
N
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225006273
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CALLE FLORENTINO ROMAN D-10 BO.SAN ANTON CAROLINA P.R.
Provider Second Line Business Mailing Address:
P.O.BOX 3774
Provider Business Mailing Address City Name:
CAROLINA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00984-3774
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-257-8382
Provider Business Mailing Address Fax Number:
787-257-8379

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE ARZUAGA #112 RIO PIEDRAS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-767-8758
Provider Business Practice Location Address Fax Number:
844-759-2967
Provider Enumeration Date:
03/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  10242 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 39391002 , issued by the state of ( PR ) . This identifiers is of the category "MEDICAID".




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