WILMER I SOTO


Address: Dt28 Calle Lago Icaco, 5talevittown, Toa Baja, PR 00949-3529
Phone: 7876332704

WILMER I SOTO (NPI# 1013192574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013192574
Entity Type Individual
Full Name WILMER I SOTO
Credential MA
Practice Address Dt28 Calle Lago Icaco
5talevittown
Toa Baja
PR 00949-3529
Practice Telephone 7876332704
Mailing Telephone 7876332704
Enumeration Date 2008-01-03
Last Update Date 2008-01-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
301 PR Ambulatory Health Care Facilities

Office Location

Street Address DT28 CALLE LAGO ICACO
5TALEVITTOWN
City TOA BAJA
State PR
Zip Code 00949-3529

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City TOA BAJA
Zip Code 00949

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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