Provider Demographics
NPI:1073063095
Name:ALFREDO SOTO NAVARRETE
Entity Type:Organization
Organization Name:ALFREDO SOTO NAVARRETE
Other - Org Name:HOSPITAL BETHEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MEDICAL PRACTICIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTO NAVARRETE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:01152664-646-9557
Mailing Address - Street 1:4275 EXECUTIVE SQ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-9123
Mailing Address - Country:US
Mailing Address - Phone:800-743-3900
Mailing Address - Fax:
Practice Address - Street 1:HERMENEGILDO GALEANA 22412
Practice Address - Street 2:EJIDO FRANCISCO VILLA
Practice Address - City:TIJUANA
Practice Address - State:BAJA CALIFORNIA
Practice Address - Zip Code:22206
Practice Address - Country:MX
Practice Address - Phone:01152664-646-9557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ5054008282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural