Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 12,695 | PR |
NPI | 1114077021 |
---|---|
Provider Name | Dr. Ernesto Rene Soltero |
First Address | Ponce, PR 00716-4819 |
Second Address | Ponce, PR 00717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 08/07/2007 |