NPIMap

Individual provider Active NPI

Sofronio Sagucio Soriano Jr., MD

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1477586865
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
10082 Issued in NV
Practice address
4425 S Jones Blvd Ste D3
Las Vegas, NV 89103-3370
Phone
(702) 750-2837
Fax
(702) 750-2847
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10082 NV
Physical Medicine & Rehabilitation Physician 208100000X 10082 NV Primary

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 identifiers 1

IdentifierTypeStateIssuer
002018538MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000806 NV Practitioner - Physical Medicine and Rehabilitation 1052397189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sofronio Soriano Professional CorporationGroup PAC ID 0042296162, 2 clinicians

Practice addresses (Care Compare)

4425 S Jones Blvd
Suite D3
Las Vegas, NV 89103-3370
Phone (702) 750-2837

Hospital & facility affiliations

  • Active Home Healthcare LLC Home health agency, Las Vegas, NV, CCN 297370
  • Alpine Home Health, Inc Home health agency, Las Vegas, NV, CCN 297246
  • Encompass Health Rehabilitation Hospital of LV Inpatient rehabilitation facility, Las Vegas, NV, CCN 293026
  • Encompass Health Rehab Hospital of Desert Canyon Inpatient rehabilitation facility, Las Vegas, NV, CCN 293033
  • Pam Rehabilitation Hospital of Centennial Hills Inpatient rehabilitation facility, Las Vegas, NV, CCN 293034

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10082NVMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Sofronio Soriano Professional Corporation Physical Medicine & Rehabilitation CurrentSince Mar 10, 2003 Accepting new patients
Eddiepmd Inc Physical Medicine & Rehabilitation PastSince Jul 30, 2002 Accepting new patients
Encompass Health Rehabilitation Hospital of Las Vegas, LLC Past Accepting new patients
Rapid Care Medical Clinic LLC Past Accepting new patients
Encompass Health Rehabilitation Hospital of Desert Canyon, LLC Past Accepting new patients

Locations

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

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

501 S Rancho Dr
Ste A5
Las Vegas, NV 89106
Phone (702) 354-0957

4425 S Jones Blvd
Ste D3
Las Vegas, NV 89103
Phone (702) 750-2837

Organizations & group practices 5

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 6

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1477586865",
    "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": {
        "last_name": "SORIANO",
        "first_name": "SOFRONIO",
        "middle_name": "SAGUCIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "10082",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "10082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018538",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.