Provider Demographics
NPI:1053099036
Name:VERA SOTO, REBECA (MD)
Entity type:Individual
Prefix:DR
First Name:REBECA
Middle Name:
Last Name:VERA SOTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:REBECA
Other - Middle Name:
Other - Last Name:VERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:CARR 2 KM 141.1 AVENUE KENNEDY 19
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR. 2, KM 141.1 AVENUE KENNEDY 18
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-658-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24224208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice