Provider Demographics
NPI:1629091582
Name:HECTOR V SOTO MD INC
Entity Type:Organization
Organization Name:HECTOR V SOTO MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:V
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-354-6631
Mailing Address - Street 1:1010 24TH ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-2822
Mailing Address - Country:US
Mailing Address - Phone:740-354-6631
Mailing Address - Fax:740-355-8513
Practice Address - Street 1:1010 24TH ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-2822
Practice Address - Country:US
Practice Address - Phone:740-354-6631
Practice Address - Fax:740-355-8513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0211694Medicaid
64734825OtherKENTUCKY UNISYS
A74271Medicare UPIN
OH0211694Medicaid
OH0616380001Medicare NSC