Individual provider Active NPI

Marta Rogelia Herrera Soto, M.D

  • Internal Medicine Physician
  • Rockledge, FL
National Provider Identifier
1346561552
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME114705 Issued in FL
Practice address
835 Executive LN Ste 130
Rockledge, FL 32955-8068
Phone
(321) 349-2301
Fax
(321) 349-2310
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME114705 FL Primary

Addresses

Primary practice location

835 Executive LN Ste 130
Rockledge, FL 32955-8068

Mailing address

835 Executive LN Ste 130
Rockledge, FL 32955-8068
Phone (321) 349-2301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140123001403 FL Practitioner - Internal Medicine 9133357932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, Inc 1,249 clinicians
Ability Health Services and Rehabilitation LP 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

835 Executive LN
Suite 130
Rockledge, FL 32955-8068
Phone 3213492301105

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Melbourne, FL, CCN 687040
  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Right Medical Care CurrentSince May 1, 2017 Accepting new patients

Locations

835 Executive Ln
Ste 130
Rockledge, FL 32955
Phone (321) 349-2301

835 Executive Ln
Ste 110
Rockledge, FL 32955
Phone (321) 638-2075

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1346561552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 EXECUTIVE LN STE 130",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558068",
            "telephone_number": "321-349-2301",
            "fax_number": "321-349-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 EXECUTIVE LN STE 130",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558068",
            "telephone_number": "321-349-2301",
            "fax_number": "321-349-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA SOTO",
        "first_name": "MARTA",
        "middle_name": "ROGELIA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2022-07-20",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME114705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.