Individual
DR. MAGALY RENDON SOTRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 HECTOR AVE, GRETNA, LA 70056-2590
(504) 349-6925
Mailing address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
330673
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2503413
—
LA
Enumeration date
05/08/2018
Last updated
08/29/2022
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