Individual provider · Type 1 NPI

Fernando R. Brea Soto, DMD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1699191015 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-4167 Map

Mailing address

1447C Calle Estrella Apt B-1306
San Juan, PR 00907-2351

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X1705 (PR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699191015

Fernando R. Brea Soto, DMD's National Provider Identifier is 1699191015, issued on Mar 10, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Mar 12, 2014.