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710 Denbigh Blvd Ste 7b Newport News VA 23608-4427 | |
| (787) 340-8175 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 710 Denbigh Blvd Ste 7b, Newport News, Virginia |
| Authorized Official Name and Position | Yazmin Johanna Soto Guerrero (PRESIDENT) |
| Authorized Official Contact | 7873408175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
304 Blevins Run Yorktown VA 23693-4188 Ph: (787) 340-8175 | 710 Denbigh Blvd Ste 7b Newport News VA 23608-4427 Ph: (787) 340-8175 |
| NPI Number | 1255781977 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 08/11/2016 |
| Medicare PECOS PAC ID | 3072807437 |
|---|---|
| Medicare Enrollment ID | O20160808000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255781977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101260290 (Virginia) | Primary |
| Provider Name | Yazmin J Soto Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104866482 PECOS PAC ID: 3779580428 Enrollment ID: I20160808001082 |
| Provider Name | Gerardo Rivera Roman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033461934 PECOS PAC ID: 0547407975 Enrollment ID: I20160810000521 |
Peninsula Institute For Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 28th St, 2nd Floor, Newport News, VA 23607 Phone: 757-591-0643 Fax: 757-591-0682 | |
Riverside Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601 Phone: 757-594-4006 Fax: 757-534-5190 | |