Individual provider Active NPI

Madigson Roidy Soria, M.D.

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1649588112
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME137777 Issued in FL
Practice address
1893 W 68TH St
Hialeah, FL 33014-4438
Phone
(305) 494-2236
NPI assigned
Sep 18, 2010
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME137777 FL Primary

Addresses

Primary practice location

1893 W 68TH St
Hialeah, FL 33014-4438

Mailing address

1893 W 68TH St
Hialeah, FL 33014-4438
Phone (305) 494-2236

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
I20150408001906 FL Practitioner - General PracticePractitioner - Family Practice 5193043867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1732 S Congress Ave
Suite 346
Palm Springs, FL 33461-2140

1732 S Congress Ave
Suite 346
Palm Springs, FL 33461-2198

17901 NW 5TH St
Suite 102
Pembroke Pines, FL 33029-2810

1893 W 68TH St
Hialeah, FL 33014-4438

2707 NE 5TH PL
Cape Coral, FL 33909-8820

861 SW 8TH St
Miami, FL 33130-3703

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Medical Holdings LLC CurrentSince Mar 23, 2023 Accepting new patients

Locations

3880 Coconut Creek Pkwy
Ste 300
Coconut Creek, FL 33066
Phone (954) 968-2955

8130 Royal Palm Blvd
Ste 205
Coral Springs, FL 33065
Phone (954) 340-1500

19411 NW 2nd Ave
North Miami Beach, FL 33169
Phone (305) 653-1131

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1284768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1649588112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144438",
            "telephone_number": "305-494-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144438",
            "telephone_number": "305-494-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIA",
        "first_name": "MADIGSON",
        "middle_name": "ROIDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-18",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME137777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.