Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fernando R Brea Soto, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699191015

Fernando R Brea Soto, DMD is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 1705 (PR)

Record details

NPI number1699191015
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 10, 2014
Last updated in NPPESMarch 12, 2014

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