Basic Information
| Provider Information | |||||||||
| NPI: | 1215916010 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOTO COLON | ||||||||
| FirstName: | SYLVETTE | ||||||||
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| NamePrefix: | MRS. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | B STREET A-1 #5 | ||||||||
| Address2: | MANSIONES DE VILLANOVA | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00926 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877204680 | ||||||||
| FaxNumber: | 7872876316 | ||||||||
| Practice Location | |||||||||
| Address1: | RD 99 KM177 | ||||||||
| Address2: | FL 2 | ||||||||
| City: | GUAYNADO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00969 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7879990753 | ||||||||
| FaxNumber: | 7879990790 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/11/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 7362 | PR | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.