Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | ME79740 | FL |
N | 207RR0500X | Rheumatology | ME79740 | FL |
NPI | 1386631653 |
---|---|
Provider Name | Dr. Maria C Soto-Aguilar |
First Address | Hudson, FL 34667-8060 |
Second Address | Hudson, FL 34667-8060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 14/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
259231200 | (05) | FL |
280536 | AVMED (01) | FL |
49628 | BLUE SHIELD PROVIDER NUMB (01) | FL |
7049127 | AETNA (01) | FL |
9255006-001 | CIGNA (01) | FL |
F21594 | (02) | FL |