Soto, Sergio Fernando

Soto, Sergio Fernando is an individual health care provider with primary practice located at 7700 E Florentine Rd Bldg. B Ste 206, Prescott Valley AZ 86314-2245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Soto, Sergio Fernando can be contacted via phone (928) 772-8217.

Contact Information

Primary practice address
7700 E Florentine Rd Bldg. B Ste 206 Prescott Valley AZ 86314-2245
Phone: (928) 772-8217
Fax: (928) 442-8932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2003-0507 New Mexico
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 37164 Arizona

Profile Details

NPI number 1942204854
LBN Legal business name Soto, Sergio Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Nov 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942204854 NPPES
Arizona MEDICAID 226148
Arizona MEDICAID 76485382
Arizona Other WCSKQ

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