Provider Demographics
NPI:1346564010
Name:SOTO, ZULMA MARIA (DOCTOR)
Entity Type:Individual
Prefix:DR
First Name:ZULMA
Middle Name:MARIA
Last Name:SOTO
Suffix:
Gender:F
Credentials:DOCTOR
Other - Prefix:DR
Other - First Name:ZULMA
Other - Middle Name:MARIA
Other - Last Name:SOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DOCTOR
Mailing Address - Street 1:STREET480
Mailing Address - Street 2:AVENIDA LOS ROBLES
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-0603
Mailing Address - Country:US
Mailing Address - Phone:787-242-5624
Mailing Address - Fax:
Practice Address - Street 1:STREET 460 INTERSECCION 480 AVE. LOS ROBLES,
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-0603
Practice Address - Country:US
Practice Address - Phone:787-242-5624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3689103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7872374078Medicare PIN
PR7872425624Medicare PIN