MEDICARE: DR. MARIA A. SORIANO PISATURO M.D.

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
1	207R00000X	Internal Medicine Physician	35091008	OH
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	237882	MA
3	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	91008	OH
4	207R00000X	Internal Medicine Physician	237882	MA

General Provider Information

NPI Number	:	1598943250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA A. SORIANO PISATURO M.D.

Provider Business Mailing Address
First Line	:	1525 WAMPANOAG TRL STE 202
Second Line	:
City	:	RIVERSIDE
State	:	RI
Zip	:	02915-1038
Country	:	US
Telephone Number	:	508-361-0405
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 TOLL GATE RD STE 104
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-4463
Country	:	US
Telephone Number	:	401-921-7290
Fax Number	:	401-921-6194

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2008
Last Update Date	:	01/27/2025

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