Provider Demographics
NPI:1790953875
Name:BERNIER-SOTO, RAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAEL
Middle Name:
Last Name:BERNIER-SOTO
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:PO BOX 3000
Mailing Address - Street 2:SUITE 510
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-6000
Mailing Address - Country:US
Mailing Address - Phone:787-845-3000
Mailing Address - Fax:787-845-8800
Practice Address - Street 1:PLAZA OASIS
Practice Address - Street 2:CARR. 153 EDIFICIO D-6
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-845-3000
Practice Address - Fax:787-845-8800
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11713208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF87515Medicare UPIN
PR89980Medicare PIN