Basic Information
Provider Information
NPI: 1083865257
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOTO
FirstName: OSCAR
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: HERCEGOVINA 24
Address2: PISO 5, PUERTA 2
City: BARCELONA
State: BARCELONA
PostalCode: 08006
CountryCode: ES
TelephoneNumber: 34932006086
FaxNumber:  
Practice Location
Address1: 330 MOUNT AUBURN ST
Address2:  
City: CAMBRIDGE
State: MA
PostalCode: 021385502
CountryCode: US
TelephoneNumber: 6174923500
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/07/2008
LastUpdateDate: 10/07/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X235061MAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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