| Ismael Hiram Soto Rivas, MD | |
|
2725 Airview Blvd Ste 105, Portage, MI 49002 | |
| (269) 349-8386 | |
| (269) 349-8397 |
| Full Name | Ismael Hiram Soto Rivas |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2725 Airview Blvd Ste 105, Portage, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699787556 | NPI | - | NPPES |
| 21479 SO | Other | TRIPLE-S |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13373 (Puerto Rico) | Secondary |
| 207Q00000X | Family Medicine | 4301113708 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ismael Hiram Soto Rivas, MD 2725 Airview Blvd Ste 105, Portage, MI 49002-1804 Ph: (269) 349-8386 | Ismael Hiram Soto Rivas, MD 2725 Airview Blvd Ste 105, Portage, MI 49002 Ph: (269) 349-8386 |
Brandon J Manderle, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2700 E Centre Ave, Portage, MI 49002 Phone: 269-286-7050 | |
Carolyn Von Maur, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Road, Suite B-201, Portage, MI 49024 Phone: 269-324-8600 | |
Dr. Xue Wang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600 | |
Remnant Mwanahiba, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 E Centre Ave, Portage, MI 49002 Phone: 269-286-7050 | |
Dr. Ann M. Busha, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3300 W Centre Ave, Portage, MI 49024 Phone: 269-324-8950 Fax: 269-324-2134 | |
Amber Darey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 W Centre Ave, Portage, MI 49024 Phone: 269-324-8950 Fax: 269-324-2134 | |
Lawrence Ulmer, Family Medicine Medicare: Medicare Enrolled Practice Location: 7901 Angling Rd, Suite B-201, Portage, MI 49024 Phone: 269-324-8600 Fax: 269-324-8617 |