Organization Active NPI

Soriano Physician Services PLLC

  • Internal Medicine Physician
  • Rockledge, FL
National Provider Identifier
1093203531
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SORIANO PHYSICIAN SERVICES PLLC
Practice address
1264 US Highway 1 Ste 105
Rockledge, FL 32955-2746
Phone
(321) 877-0007
Fax
(321) 338-2001
NPI assigned
Apr 30, 2018
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Yordanka B Acosta
Title
Office Manager
Phone
(321) 877-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1264 US Highway 1 Ste 105
Rockledge, FL 32955-2746

Mailing address

1264 US Highway 1 Ste 105
Rockledge, FL 32955-2746
Phone (321) 877-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190326000815 FL Part B Supplier - Clinic/Group Practice 8426398652 Receives reassigned benefits from 3 practitioners
Practice locations: Rockledge, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2171337Soriano Physician Services PLLC1264 US Highway 1 Suite 105, Rockledge, FL 32955Certificate of waiverAug 28, 2027

National Provider Directory

National Provider Directory

Locations

1264 US Highway 1
Ste 105
Rockledge, FL 32955
Phone (321) 626-6248

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1093203531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 US HIGHWAY 1 STE 105",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552746",
            "telephone_number": "321-877-0007",
            "fax_number": "321-338-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 US HIGHWAY 1 STE 105",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552746",
            "telephone_number": "321-877-0007",
            "fax_number": "321-338-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORIANO PHYSICIAN SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "YORDANKA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-877-0007"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.