Dr. Sofronio Sagucio Soriano Jr., MD
Physical Medicine & Rehabilitation in Las Vegas, NV. Individual provider (NPI-1).
NPI number1477586865
StatusActive
Last updated in NPPESOct 7, 2025
Details
- NPI
- 1477586865
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sofronio Sagucio Soriano Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2006
- Certification date
- Oct 7, 2025
- Last updated
- Oct 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 10082 | NV | Yes |
| 208D00000X | General Practice | 10082 | NV |
Practice location
4425 S Jones Blvd Ste D3Las Vegas, NV 89103-3370
Phone 702-750-2837 · Fax 702-750-2847
Mailing address
Po Box 30844Las Vegas, NV 89173-0844
Phone 702-750-2837 · Fax 702-750-2847
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