- Practice location
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone
- 718-920-4167
- Fax
- —
- Last updated
- March 12, 2014
Fernando R Brea Soto is a Student in an Organized Health Care Education/Training Program based in Bronx, NY. Fernando R Brea Soto practices in Bronx, NY and has the professional credentials of DMD. The NPI Number for Fernando R Brea Soto is 1699191015 and holds a License No. 1705 (PR). The current practice location address for Fernando R Brea Soto is 111 E 210TH St, Bronx, NY 10467-2401 and can be reached out via phone at 718-920-4167.
Provider Profile Details
- NPI Number
- 1699191015
- Provider Name
- Fernando R Brea Soto
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone Number
- 718-920-4167
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 10, 2014
- Last Update Date
- March 12, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 E 210TH St
Bronx, NY 10467-2401 - City
- Bronx
- State
- New York
- Zip
- 10467-2401
- Phone Number
- 718-920-4167
Provider Business Mailing Address Details
- Address
- 1447C Calle Estrella Apt B-1306
San Juan, PR 00907-2351 - City
- San Juan
- State
- PR
- Zip
- 00907-2351
- Phone Number
- 347-270-6263
License Information
- License Number
- 1705
- License State
- PR
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Bronx, NY
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- Dr. Jose E Rios, DMDStudent in an Organized Health Care Education/Training Program · NPI 1922896760
- Dr. Zashary S Miranda SotoStudent in an Organized Health Care Education/Training Program · NPI 1861284598
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Frequently Asked Questions
What is the NPI number of Fernando R Brea Soto, DMD?
The NPI number of Fernando R Brea Soto, DMD is 1699191015. It was assigned on March 10, 2014 and is currently active in the NPPES registry.
What is the specialty of Fernando R Brea Soto, DMD?
Fernando R Brea Soto, DMD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in PR under license number 1705.
Where does Fernando R Brea Soto, DMD practice?
The practice location is 111 E 210TH St, Bronx, NY 10467-2401. The office can be reached at 718-920-4167 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699191015 directly on the NPPES registry website.