Sop Medical PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SOP MEDICAL PC

Practice address

10211 Roosevelt Ave Ste 4
Corona, NY 11368-2331

Phone

(718) 898-1386

Fax

(718) 898-1093

NPI assigned

Aug 7, 2007

Last updated

Apr 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hector Bienvenido Florimon de la Rosa

Title

Medical Director

Phone

(718) 898-1386

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hector Florimon, M.D.

  • Pediatrics Physician
  • Corona, NY
  • NPI 1649337858
  Medicare reassignment NPD
• Tatiana Flaminia Gomez Lopez

  • Internal Medicine Physician
  • Corona, NY
  • NPI 1578947750
  Medicare reassignment NPD
• Roberto Antonio Moran, MD

  • Family Medicine Physician
  • Corona, NY
  • NPI 1528550647
  Medicare reassignment NPD
• Glendalyz Alberto, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1366733719

  NY

  Medicare reassignment NPD
• Nohely Yarassell Uribe, NP

  • Family Nurse Practitioner
  • Corona, NY
  • NPI 1184456378
  NPD
• Luciano Juan Pastori, M.D.

  • Internal Medicine Physician
  • Corona, NY
  • NPI 1417206079
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1083805741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 ROOSEVELT AVE STE 4",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682331",
            "telephone_number": "718-898-1386",
            "fax_number": "718-898-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 ROOSEVELT AVE STE 4",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682331",
            "telephone_number": "718-898-1386",
            "fax_number": "718-898-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOP MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "FLORIMON DE LA ROSA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "BIENVENIDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-898-1386"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02933219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solano Optical Co., Inc.
• Juan E Solano, OPTICIAN
• Stephanie Solares, FNP
• Mojgan Soleimani-Khalili
• Sols 4 Pharmacy Inc (Sol's Pharmacy)
• Aliana Sosa, LMHC
• Jean Vernet Souffrant Sr., MA NCPSYA
• Source of Physical Therapy PC
• St. Raphael Pharmacy Inc (St Raphael Chemists)
• Sofia Starayeva

• Primary Care Clinic/Center in Corona, NY
• Providers in Corona, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.