Provider Demographics
NPI:1932309457
Name:CARLOS R. SOTO-VILLARRUBIA M.D.
Entity Type:Organization
Organization Name:CARLOS R. SOTO-VILLARRUBIA M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ROBERTO
Authorized Official - Last Name:SOTO-VILLARRUBIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-431-5421
Mailing Address - Street 1:PO BOX 873
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-0873
Mailing Address - Country:US
Mailing Address - Phone:787-431-5421
Mailing Address - Fax:787-252-2049
Practice Address - Street 1:230 CALLE MARINA
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-3217
Practice Address - Country:US
Practice Address - Phone:787-868-8200
Practice Address - Fax:787-868-8200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16689282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI-68561Medicare UPIN