Basic Information
| Provider Information | |||||||||
| NPI: | 1679674097 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOTO QUIJANO | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | A. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 66 CALLE SANTA CRUZ | ||||||||
| Address2: | INSTITUTO SAN PABLO SUITE 301 | ||||||||
| City: | BAYAMON | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009617041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877402270 | ||||||||
| FaxNumber: | 7877857277 | ||||||||
| Practice Location | |||||||||
| Address1: | 66 CALLE SANTA CRUZ | ||||||||
| Address2: | INSTITUTO SAN PABLO SUITE 301 | ||||||||
| City: | BAYAMON | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009617041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877402270 | ||||||||
| FaxNumber: | 7877857277 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2006 | ||||||||
| LastUpdateDate: | 12/13/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2081S0010X | 13258 | PR | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Sports Medicine |
No ID Information.