Provider Demographics
NPI:1407055270
Name:SOTO DEL CUETO, JORGE E (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:E
Last Name:SOTO DEL CUETO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JORGE
Other - Middle Name:E
Other - Last Name:SOTO DEL CUETO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:COND. BOSQUE REAL
Mailing Address - Street 2:APT 404
Mailing Address - City:SAN JUAN, PR
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-365-5168
Mailing Address - Fax:
Practice Address - Street 1:COND. BOSQUE REAL
Practice Address - Street 2:APT 404
Practice Address - City:SAN JUAN, PR
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-365-5168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN52885207X00000X
PR17363207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery