| NPI | 1073728234 |
|---|---|
| Former Legal Business Name | DRA. ELISABETH SOTO VEGA |
| Entity Type | Organization |
| Authorized Contact | ELISABETH SOTO Owner 787-268-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PR 11292) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |