Provider Demographics
NPI:1518711464
Name:AROCHO SOTO, PEDRO J
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:J
Last Name:AROCHO SOTO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 6659
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641-9503
Mailing Address - Country:US
Mailing Address - Phone:787-409-8450
Mailing Address - Fax:
Practice Address - Street 1:502 AVE BORINQUEN
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4490
Practice Address - Country:US
Practice Address - Phone:787-409-8450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7772103T00000X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist