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NPI Profile for WILMER I SOTO in TOA BAJA, PR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1013192574 |
|
| Status | Active | |
| Credentials | MA | |
| Entity | Individual | |
| Enumeration date | 01/03/2008 | |
| Last updated | 01/03/2008 - About 18 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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WILMER I SOTO
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WILMER I SOTO, MA