Provider Demographics
NPI:1295755429
Name:SOTO, ROBERTO FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:FRANCISCO
Last Name:SOTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6000 EXECUTIVE BLVD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3803
Mailing Address - Country:US
Mailing Address - Phone:301-656-7226
Mailing Address - Fax:301-656-7225
Practice Address - Street 1:6000 EXECUTIVE BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3803
Practice Address - Country:US
Practice Address - Phone:301-656-7226
Practice Address - Fax:301-656-7225
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00555752085R0202X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
113657908OtherCHAMP VA
9138029OtherCIGNA
7185454OtherAETNA PPO
11365790800004OtherUNITED HEATHCARE
MD60518004OtherBCBS MD
MD391701100Medicaid
MD1710907316OtherPRECISION IMAGING NPI
491644OtherNCPPO
DCJ245-0001OtherBCBS DC
DCP00209099OtherMEDICARE RAILROAD
MD391701100Medicaid
DCJ245-0001OtherBCBS DC
DCP00209099OtherMEDICARE RAILROAD
DCFDP009Medicare PIN