Provider Demographics
NPI:1407502057
Name:SOTO-TORRES, OSCAR MANUEL (MCSW)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:MANUEL
Last Name:SOTO-TORRES
Suffix:
Gender:M
Credentials:MCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 SAMUEL ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33897-6215
Mailing Address - Country:US
Mailing Address - Phone:787-616-5469
Mailing Address - Fax:
Practice Address - Street 1:130 SAMUEL ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33897-6215
Practice Address - Country:US
Practice Address - Phone:787-616-5469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health