Cirilo Sotelo-Avila, MD

Primary specialty

Pediatric Pathology PhysicianTaxonomy code 207ZP0213X

License

R2C91 Issued in MO

Practice address

1465 S Grand Blvd RM G320
Saint Louis, MO 63104-1003

Phone

(314) 268-6424

Fax

(314) 268-6420

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1033162060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 S GRAND BLVD RM G320",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041003",
            "telephone_number": "314-268-6424",
            "fax_number": "314-268-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 S GRAND BLVD RM G320",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041003",
            "telephone_number": "314-268-6424",
            "fax_number": "314-268-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO-AVILA",
        "first_name": "CIRILO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "MO",
            "license": "R2C91",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher T Sorgani, DPT
• Zachary Sorgea
• Rebecca Sosa, BSW
• Michael Sosman, MA
• Jacob Phillip Sosna, M.D.
• Amelia Michelle Sotnyk, LCSW
• Aneliz Soto Vazquez
• Christopher M Soto
• Gabriel E Soto, M.D.
• Molly Soto, DPT

• Pediatric Pathology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatric Pathology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.