Provider Demographics
NPI:1730309303
Name:SOTO, MILAGROS (RPH)
Entity Type:Individual
Prefix:MS
First Name:MILAGROS
Middle Name:
Last Name:SOTO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 CALLE BOURET
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912-3916
Mailing Address - Country:US
Mailing Address - Phone:787-982-2513
Mailing Address - Fax:
Practice Address - Street 1:730 CALLE JULIO ANDINO
Practice Address - Street 2:VILLA PRADES
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-2252
Practice Address - Country:US
Practice Address - Phone:787-751-0565
Practice Address - Fax:787-763-1263
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist