Provider Demographics
NPI:1114413572
Name:SOTO ARMAS, FLOIRAN
Entity Type:Individual
Prefix:
First Name:FLOIRAN
Middle Name:
Last Name:SOTO ARMAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 W SAHARA AVE APT 1238
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-3648
Mailing Address - Country:US
Mailing Address - Phone:786-641-0509
Mailing Address - Fax:
Practice Address - Street 1:4550 W SAHARA AVE APT 1238
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-3648
Practice Address - Country:US
Practice Address - Phone:786-641-0509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1185659859Medicaid