Provider Demographics
NPI:1174563472
Name:CESAR SOTO SANTIAGO
Entity type:Organization
Organization Name:CESAR SOTO SANTIAGO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-923-2927
Mailing Address - Street 1:P.O. BOX 1967
Mailing Address - Street 2:BO LOS LLANOS CARR 14 KM 26.7
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769
Mailing Address - Country:US
Mailing Address - Phone:787-803-2113
Mailing Address - Fax:787-803-2113
Practice Address - Street 1:BO LOS LLANOS CARR 14 KM 26.7
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769
Practice Address - Country:US
Practice Address - Phone:787-803-2213
Practice Address - Fax:787-803-2113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR50004Medicare ID - Type UnspecifiedAMBULANCES SERVICES