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NPI Code Detail

MEDICARE: FIORELLA SONIA SOTOMAYOR VILLANUEVA MD

MEDICARE:   FIORELLA SONIA SOTOMAYOR VILLANUEVA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician337976LA

General Provider Information

NPI Number : 1396240511
Entity Type Code : Individual
Provider Name (Legal Business Name) : FIORELLA SONIA SOTOMAYOR VILLANUEVA MD
Provider Business Mailing Address
First Line : PO BOX 4506
Second Line :
City : SHREVEPORT
State : LA
Zip : 71134-0506
Country : US
Telephone Number : 318-239-4860
Fax Number : 805-295-4715
Provider Business Practice Location Address
First Line : 3516 NORTH BLVD STE B
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3674
Country : US
Telephone Number : 318-239-4860
Fax Number : 805-295-4715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2018
Last Update Date : 07/21/2023

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Directions to “ FIORELLA SONIA SOTOMAYOR VILLANUEVA MD” Practice Location

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