Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 13471 | PR |
N | 208600000X | Surgeon | 13471 | PR |
Y | 2086S0105X | Surgery of the Hand | 13471 | PR |
NPI | 1720157266 |
---|---|
Provider Name | Ian R Soto Lopez |
First Address | Caguas, PR 00726-0770 |
Second Address | Caguas, PR 00725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 26/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H80715 | (02) | PR |