Provider Demographics
NPI:1134273436
Name:CORTES, BETSY SOTO
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:SOTO
Last Name:CORTES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 7 BOX 70465
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-7121
Mailing Address - Country:US
Mailing Address - Phone:787-926-0936
Mailing Address - Fax:
Practice Address - Street 1:BARRIO CULEBRINA CARRETERA 435 KM 0
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-9998
Practice Address - Country:US
Practice Address - Phone:787-896-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3988183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician