Provider Demographics
NPI:1235966250
Name:VENTURA SORIANO, MINERVA (RN BSN)
Entity type:Individual
Prefix:
First Name:MINERVA
Middle Name:
Last Name:VENTURA SORIANO
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-1216
Mailing Address - Country:US
Mailing Address - Phone:201-790-2527
Mailing Address - Fax:
Practice Address - Street 1:809 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-1216
Practice Address - Country:US
Practice Address - Phone:201-790-2527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-14
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator