Provider Demographics
NPI:1508177403
Name:SOTO GOMEZ, NATALIA (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:
Last Name:SOTO GOMEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NATALIA
Other - Middle Name:
Other - Last Name:SOTO GOMEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:10007 HUEBNER RD STE 402
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1640
Mailing Address - Country:US
Mailing Address - Phone:210-692-0361
Mailing Address - Fax:210-593-4066
Practice Address - Street 1:10007 HUEBNER RD STE 402
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240
Practice Address - Country:US
Practice Address - Phone:210-692-0361
Practice Address - Fax:210-692-0151
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7605207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX361884501Medicaid