Provider Demographics
NPI:1639608615
Name:SOTO LOPEZ, ALAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAIN
Middle Name:
Last Name:SOTO LOPEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 SW 118TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2547
Mailing Address - Country:US
Mailing Address - Phone:786-521-4599
Mailing Address - Fax:786-521-4599
Practice Address - Street 1:550 SERGIO CUEVAS
Practice Address - Street 2:HOSPITAL DEL MAESTRO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3741
Practice Address - Country:US
Practice Address - Phone:787-758-8383
Practice Address - Fax:786-763-9758
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program