Provider Demographics
NPI:1083156467
Name:SORIANO, HECTOR A SR
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:A
Last Name:SORIANO
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 N BIRCH RD APT 316
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4279
Mailing Address - Country:US
Mailing Address - Phone:305-322-5303
Mailing Address - Fax:
Practice Address - Street 1:341 N BIRCH RD APT 316
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-4279
Practice Address - Country:US
Practice Address - Phone:305-322-5303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst