Healthcare Provider Details

I. General information

NPI: 1598943250
Provider Name (Legal Business Name): MARIA A. SORIANO PISATURO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 WAMPANOAG TRL STE 202
RIVERSIDE RI
02915-1038
US

IV. Provider business mailing address

1525 WAMPANOAG TRL STE 202
RIVERSIDE RI
02915-1038
US

V. Phone/Fax

Practice location:
  • Phone: 401-203-3636
  • Fax: 833-764-5998
Mailing address:
  • Phone: 508-361-0405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD14103
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number237882
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number91008
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number237882
License Number StateMA
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35091008
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: