Dr. Rose Marie Sotolongo, D.P.M.
Podiatrist in Ridgeland, MS. Individual provider (NPI-1).
NPI number1790779858
StatusActive
Last updated in NPPESJan 13, 2023
Details
- NPI
- 1790779858
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rose Marie Sotolongo
- Credential
- D.P.M.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2005
- Certification date
- Jan 13, 2023
- Last updated
- Jan 13, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PODIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 80114 | MS | Yes |
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | 80114 | MS |
Practice location
731 S Pear Orchard RdSuite 7
Ridgeland, MS 39157-4800
Phone 601-206-9101 · Fax 601-206-9102
Mailing address
731 S Pear Orchard RdSuite 7
Ridgeland, MS 39157
Phone 601-206-9101 · Fax 601-206-9102
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