Provider Demographics
NPI:1871887505
Name:SOTO, NECTOR LUIS (PHARMACIST)
Entity type:Individual
Prefix:
First Name:NECTOR
Middle Name:LUIS
Last Name:SOTO
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:CARRT. 128 KM 40.1 INT BO BUENOS AIRES LARES
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-0043
Mailing Address - Country:US
Mailing Address - Phone:939-640-0743
Mailing Address - Fax:787-897-2165
Practice Address - Street 1:379 AVE LOS PATRIOTAS
Practice Address - Street 2:
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669-2309
Practice Address - Country:US
Practice Address - Phone:787-897-2290
Practice Address - Fax:787-897-2530
Is Sole Proprietor?:No
Enumeration Date:2011-05-28
Last Update Date:2011-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2328183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist