Provider Demographics
NPI:1154989036
Name:SALLS-SOTO, NORA LUCIA
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:LUCIA
Last Name:SALLS-SOTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PERLA DEL SUR
Mailing Address - Street 2:2623 LAS CARROZAS
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-0429
Mailing Address - Country:US
Mailing Address - Phone:787-432-9588
Mailing Address - Fax:787-259-8659
Practice Address - Street 1:AVE SANTIAGO DE LOS CABALLEROS
Practice Address - Street 2:CALLE MARGINAL
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-848-4545
Practice Address - Fax:787-259-8659
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-05
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16158163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse