Provider Demographics
NPI:1760130223
Name:SOTO RAMIREZ, NEYCHIMAR (CRNA)
Entity Type:Individual
Prefix:
First Name:NEYCHIMAR
Middle Name:
Last Name:SOTO RAMIREZ
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB PARQUE DEL RIO
Mailing Address - Street 2:152 VIA DEL PARQUE
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-464-5345
Mailing Address - Fax:
Practice Address - Street 1:URB PARQUE DEL RIO
Practice Address - Street 2:152 VIA DEL PARQUE
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-464-5345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-14
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR134763367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty