Provider Demographics
NPI:1124415377
Name:SOTO, CYNTHIA (RPH)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:
Last Name:SOTO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 63 BOX 3720
Mailing Address - Street 2:QUEBRADA ARRIBA
Mailing Address - City:PATILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00723-9612
Mailing Address - Country:US
Mailing Address - Phone:787-613-1196
Mailing Address - Fax:
Practice Address - Street 1:HC 63 BOX 3720
Practice Address - Street 2:QUEBRADA ARRIBA
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723-9612
Practice Address - Country:US
Practice Address - Phone:787-613-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8008183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8008OtherLICENCE PHARM TECH