Physician Compare National (NPI:1346561552)

HEALTHCARE PROVIDER: MARTA ROGELIA HERRERA SOTO M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1346561552
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133357932
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140123001403
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HERRERA SOTO
	Individual professional last name
Provider First Name	MARTA
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	835 EXECUTIVE LN
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	ROCKLEDGE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	329558068
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100092
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WUESTHOFF MEDICAL CENTER ROCKLEDGE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100028
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PARRISH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100315
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	VIERA HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y