Provider Demographics
NPI:1265859888
Name:SATORRE, LESTER (BS)
Entity Type:Individual
Prefix:MR
First Name:LESTER
Middle Name:
Last Name:SATORRE
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8851 NW 119TH ST UNIT 6206
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7919
Mailing Address - Country:US
Mailing Address - Phone:305-820-2192
Mailing Address - Fax:305-820-5052
Practice Address - Street 1:8851 NW 119TH ST UNIT 6206
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-7919
Practice Address - Country:US
Practice Address - Phone:305-820-2192
Practice Address - Fax:305-820-5052
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-20
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL766230100Medicaid