Provider Demographics
NPI:1437776663
Name:SOTO-GARCIA, MANUEL ALEJANDRO (DC)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:ALEJANDRO
Last Name:SOTO-GARCIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:MANUEL
Other - Middle Name:ALEJANDRO
Other - Last Name:SOTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3150 S ORANGE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-6223
Mailing Address - Country:US
Mailing Address - Phone:321-300-3113
Mailing Address - Fax:
Practice Address - Street 1:3150 S ORANGE AVE STE 200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6223
Practice Address - Country:US
Practice Address - Phone:321-300-3113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-03
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13184111NN0400X, 111NN0400X
CA34866111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
No111N00000XChiropractic ProvidersChiropractor