Basic Information
| Provider Information | |||||||||
| NPI: | 1366650228 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ERNESTO R SOLTERO MD PSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 801202 | ||||||||
| Address2: | COTO LAUREL | ||||||||
| City: | PONCE | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007801202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878481010 | ||||||||
| FaxNumber: | 7872597364 | ||||||||
| Practice Location | |||||||||
| Address1: | CARDIOVASCUALR SURGERY CENTER HOSPITAL DAMAS | ||||||||
| Address2: | 2213 PONCE BY PASS | ||||||||
| City: | PONCE | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878481010 | ||||||||
| FaxNumber: | 7872597364 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | OLIVERAS | ||||||||
| AuthorizedOfficialFirstName: | ERNESTO | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7878481010 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 12695 | PR | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.