Provider Demographics
NPI:1831414366
Name:SOTO, ITZIER I (RPH)
Entity type:Individual
Prefix:MS
First Name:ITZIER
Middle Name:I
Last Name:SOTO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 29241-2
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9739
Mailing Address - Country:US
Mailing Address - Phone:787-868-7897
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 29241-2
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-9739
Practice Address - Country:US
Practice Address - Phone:787-868-7897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4903183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist