Provider Demographics
NPI:1477503340
Name:SOTOMORA, RICARDO FEDERICO (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:FEDERICO
Last Name:SOTOMORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:25 RIVER RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-1523
Mailing Address - Country:US
Mailing Address - Phone:501-217-9890
Mailing Address - Fax:501-227-4215
Practice Address - Street 1:1100 N UNIVERSITY AVE
Practice Address - Street 2:SUITE #142
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-6365
Practice Address - Country:US
Practice Address - Phone:501-217-9890
Practice Address - Fax:501-227-4215
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC49752080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology