Organization Active NPI

Sofronio Soriano Professional Corporation

Doing business as Sofronio Soriano MD PC

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1093878548
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SOFRONIO SORIANO PROFESSIONAL CORPORATION
Doing business as
Sofronio Soriano MD PC
Practice address
4425 S Jones Blvd Ste D3
Las Vegas, NV 89103-3370
Phone
(702) 750-2837
Fax
(702) 750-2847
NPI assigned
Dec 18, 2006
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Hendrica Soriano
Title
Office Manager
Phone
(702) 750-2837

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

4425 S Jones Blvd Ste D3
Las Vegas, NV 89103-3370

Mailing address

PO Box 30844
Las Vegas, NV 89173-0844
Phone (702) 750-2837

Other names 1

  • Sofronio Soriano MD PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040628001473 NV Part B Supplier - Clinic/Group Practice 0042296162 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2610 S Jones Blvd
Ste 1
Las Vegas, NV 89146
Phone (702) 750-2837

4270 S Decatur Blvd
Ste A3
Las Vegas, NV 89103
Phone (702) 750-2837

Practitioners & affiliated clinicians

Practitioners 2

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1093878548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30844",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891730844",
            "telephone_number": "702-750-2837",
            "fax_number": "702-750-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S JONES BLVD STE D3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033370",
            "telephone_number": "702-750-2837",
            "fax_number": "702-750-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFRONIO SORIANO PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "HENDRICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-750-2837"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sofronio Soriano MD PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sofronio Soriano MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.