| Sotomayor Medical Practice, P.c. | |
|
1220 Centre Ave Reading PA 19601-1458 | |
| (610) 898-1200 | |
| (610) 898-7600 |
| Full Name | Sotomayor Medical Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1220 Centre Ave, Reading, Pennsylvania |
| Authorized Official Name and Position | Matilde Rodriguez-sotomayor (OWNER) |
| Authorized Official Contact | 6108981200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sotomayor Medical Practice, P.c. 1220 Centre Ave Reading PA 19601-1458 Ph: (610) 898-1200 | Sotomayor Medical Practice, P.c. 1220 Centre Ave Reading PA 19601-1458 Ph: (610) 898-1200 |
| NPI Number | 1285783597 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 10/17/2011 |
| Medicare PECOS PAC ID | 1254504202 |
|---|---|
| Medicare Enrollment ID | O20111108000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285783597 | NPI | - | NPPES |
| 1026312170001 | Medicaid | PA | |
| PENDING | Other | PA | MEDICARE GROUP # PENDING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | MD032776E (Pennsylvania) | Secondary |
| Provider Name | Matilde Rodriguez Sotomayor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932203544 PECOS PAC ID: 0547224487 Enrollment ID: I20041119000065 |
| Provider Name | Antonio E Sotomayor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043321961 PECOS PAC ID: 9830381656 Enrollment ID: I20101012000029 |
| Provider Name | Helen Lee Wooten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891929725 PECOS PAC ID: 9830323237 Enrollment ID: I20131017000707 |
| Provider Name | Freddy F Flores Ferreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811354434 PECOS PAC ID: 7214303247 Enrollment ID: I20240409000138 |
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