| Sofronio Soriano Professional Corporation | |
|
2610 S Jones Blvd Ste 1 Las Vegas NV 89146-5635 | |
| (702) 750-2837 | |
| Not Available |
| Full Name | Sofronio Soriano Professional Corporation |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 2610 S Jones Blvd Ste 1, Las Vegas, Nevada |
| Authorized Official Name and Position | Hendrica Soriano (OFFICE MANAGER) |
| Authorized Official Contact | 7027502837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sofronio Soriano Professional Corporation Po Box 30844 Las Vegas NV 89173-0844 Ph: (702) 750-2837 | Sofronio Soriano Professional Corporation 2610 S Jones Blvd Ste 1 Las Vegas NV 89146-5635 Ph: (702) 750-2837 |
| NPI Number | 1093878548 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 0042296162 |
|---|---|
| Medicare Enrollment ID | O20040628001473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093878548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Sofronio S Soriano |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477586865 PECOS PAC ID: 1052397189 Enrollment ID: I20040629000806 |
| Provider Name | Alberto P Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457883316 PECOS PAC ID: 2466739370 Enrollment ID: I20170502001944 |
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