Organization
RIVERA -SOTO MEDICAL GROUP INTERNAL MEDICINE SPECIALIST
Active
Other names
Renova Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAZMIN JOHANNA SOTO GUERRERO MD (PRESIDENT)
(787) 340-8175
Entity
Organization
Contact information
Practice address
710 DENBIGH BLVD STE 7B, NEWPORT NEWS, VA 23608-4427
(787) 340-8175
Mailing address
304 BLEVINS RUN, YORKTOWN, VA 23693-4188
(787) 340-8175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101260290
VA
Other
Enumeration date
06/14/2016
Last updated
08/11/2016
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