Provider Demographics
NPI:1699375428
Name:SORIANO-PEREZ, DAVID RAMON (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RAMON
Last Name:SORIANO-PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 8 BOX 67530
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-6048
Mailing Address - Country:US
Mailing Address - Phone:787-597-8321
Mailing Address - Fax:
Practice Address - Street 1:CARR. 129 K39 H5 INT
Practice Address - Street 2:BO. HATO ARRIBA
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-6048
Practice Address - Country:US
Practice Address - Phone:787-597-8321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22020208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice