Provider Demographics
NPI:1992773147
Name:CARATINI SOTO, FELIX M (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:M
Last Name:CARATINI SOTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-0038
Mailing Address - Country:US
Mailing Address - Phone:787-825-9144
Mailing Address - Fax:
Practice Address - Street 1:134 CALLE JOSE I QUINTON
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-3041
Practice Address - Country:US
Practice Address - Phone:787-825-9144
Practice Address - Fax:787-825-9144
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-12
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11854174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG79440Medicare UPIN
PR0089800Medicare ID - Type Unspecified