Provider Demographics
NPI:1336365170
Name:SOTO, JOSE J (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:J
Last Name:SOTO
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:50 AVE L MUNOZ MARIN
Mailing Address - Street 2:SUITE 302
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3975
Mailing Address - Country:US
Mailing Address - Phone:787-746-8839
Mailing Address - Fax:787-258-2115
Practice Address - Street 1:50 AVE L MUNOZ MARIN
Practice Address - Street 2:SUITE 302
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3975
Practice Address - Country:US
Practice Address - Phone:787-746-8839
Practice Address - Fax:787-258-2115
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR21281223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics