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Contact Information

WILMER I SOTO, MA
DT28 CALLE LAGO ICACO
5TALEVITTOWN
TOA BAJA, PR00949-3529
 Phone: 787-633-2704
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for

NPI Number 1013192574
Entity Organization
Organization subpart 1 Not specified
Enumeration date 01/03/2008
Last updated 01/03/2008 - About 18 years ago
Identifiers
PR License # 301
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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