1396062188 NPI number — MRS. FRANCIS SOTO-GAY DRA-PSY.D.

Table of content: MRS. FRANCIS SOTO-GAY DRA-PSY.D. (NPI 1396062188)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396062188 NPI number — MRS. FRANCIS SOTO-GAY DRA-PSY.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SOTO-GAY
Provider First Name:
FRANCIS
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DRA-PSY.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SOTO-GAY
Provider Other First Name:
FRANCIS
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DRA-PSY.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1396062188
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 55374
Provider Second Line Business Mailing Address:
STATION ONE
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00960-3374
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-402-0119
Provider Business Mailing Address Fax Number:
787-785-5992

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE PAJAROS #117
Provider Second Line Business Practice Location Address:
FLOOR 2ND, SUITE 1, HATO TEJAS
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00959
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-402-0119
Provider Business Practice Location Address Fax Number:
787-785-5992
Provider Enumeration Date:
05/03/2010

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: 103TC0700X , with the licence number:  #3688 , 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)





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