Organization Active NPI

Rivera -Soto Medical Group Internal Medicine Specialist

  • Internal Medicine Physician
  • Newport News, VA
National Provider Identifier
1255781977
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101260290 Issued in VA
Legal business name
RIVERA -SOTO MEDICAL GROUP INTERNAL MEDICINE SPECIALIST
Practice address
710 Denbigh Blvd Ste 7B
Newport News, VA 23608-4427
Phone
(787) 340-8175
NPI assigned
Jun 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Authorized official

Name
Dr. Yazmin Johanna Soto Guerrero, MD
Title
President
Phone
(787) 340-8175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101260290 VA Primary

Addresses

Primary practice location

710 Denbigh Blvd Ste 7B
Newport News, VA 23608-4427

Mailing address

304 Blevins Run
Yorktown, VA 23693-4188
Phone (787) 340-8175

Other names 1

  • Renova Internal Medicine Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1255781977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BLEVINS RUN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934188",
            "telephone_number": "787-340-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 DENBIGH BLVD STE 7B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084427",
            "telephone_number": "787-340-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA -SOTO MEDICAL GROUP INTERNAL MEDICINE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "SOTO GUERRERO",
        "authorized_official_first_name": "YAZMIN",
        "authorized_official_middle_name": "JOHANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-340-8175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101260290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renova Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.