Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 27392 | KY |
NPI | 1093771099 |
---|---|
Provider Name | Dr. Alejandro L Soriano |
First Address | Madisonville, KY 42431-1652 |
Second Address | Madisonville, KY 42431-1652 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 10/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64273923 | (05) | KY |
C57789 | (02) |