Provider Demographics
NPI:1306256599
Name:SOTELO, ALAN E (DPM)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:E
Last Name:SOTELO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4119 CAPITOL ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2153
Mailing Address - Country:US
Mailing Address - Phone:941-753-9599
Mailing Address - Fax:941-755-0261
Practice Address - Street 1:4119 CAPITOL ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2153
Practice Address - Country:US
Practice Address - Phone:941-753-9599
Practice Address - Fax:941-755-0261
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC657213ES0103X, 213ES0131X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCT493B699Medicare PIN