Provider Demographics
NPI:1740373455
Name:SOTOMONTE ARIZA, JUAN CARLOS (MD)
Entity type:Individual
Prefix:
First Name:JUAN CARLOS
Middle Name:
Last Name:SOTOMONTE ARIZA
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 363047
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3047
Mailing Address - Country:US
Mailing Address - Phone:787-763-4160
Mailing Address - Fax:787-763-4162
Practice Address - Street 1:AVE. AMERICO MIRANDA, ESQ CENTRO MEDICO 1
Practice Address - Street 2:SUITE 10
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-6528
Practice Address - Country:US
Practice Address - Phone:787-763-4160
Practice Address - Fax:787-763-4162
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16026207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology