Provider Demographics
NPI:1548459175
Name:SORIANO, RAMON MANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:MANUEL
Last Name:SORIANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2870
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78044-2870
Mailing Address - Country:US
Mailing Address - Phone:956-795-8366
Mailing Address - Fax:956-795-8367
Practice Address - Street 1:1710 E SAUNDERS ST
Practice Address - Street 2:SUITE B200
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5443
Practice Address - Country:US
Practice Address - Phone:956-795-8366
Practice Address - Fax:956-795-8367
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK1071207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104481003Medicaid
200044254OtherMEDICARE RAILROAD
8G3630OtherBLUE CROSS BLUE SHIELD
200044254OtherMEDICARE RAILROAD
TX104481003Medicaid