Provider Demographics
NPI:1568817203
Name:APONTE-SOTO, AYDIL (PT)
Entity Type:Individual
Prefix:
First Name:AYDIL
Middle Name:
Last Name:APONTE-SOTO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 CALLE MINA
Mailing Address - Street 2:URB MONTE ALTO
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-4092
Mailing Address - Country:US
Mailing Address - Phone:787-403-2325
Mailing Address - Fax:
Practice Address - Street 1:248 CALLE MINA
Practice Address - Street 2:URB MONTE ALTO
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-4092
Practice Address - Country:US
Practice Address - Phone:787-403-2325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9930183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician