Provider Demographics
NPI:1841150943
Name:LEON SOTO, MILO DEL CARMEN
Entity type:Individual
Prefix:
First Name:MILO
Middle Name:DEL CARMEN
Last Name:LEON SOTO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1077 EAST AVE APT 2B
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-2249
Mailing Address - Country:US
Mailing Address - Phone:321-276-4369
Mailing Address - Fax:
Practice Address - Street 1:1077 EAST AVE APT 2B
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-2249
Practice Address - Country:US
Practice Address - Phone:321-276-4369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129433-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker