Provider Demographics
NPI:1679349112
Name:HERNANDEZ SOTO, ABDIEL JOSE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ABDIEL
Middle Name:JOSE
Last Name:HERNANDEZ SOTO
Suffix:
Gender:F
Credentials:MD, MPH
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 977
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-0977
Mailing Address - Country:US
Mailing Address - Phone:939-406-0461
Mailing Address - Fax:
Practice Address - Street 1:KM 11.7 CARR PUERTO RICO CARR 2
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:939-406-0461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program