Provider Demographics
NPI:1639154057
Name:SATORY-DEHOYOS, ELIN (MD)
Entity Type:Individual
Prefix:
First Name:ELIN
Middle Name:
Last Name:SATORY-DEHOYOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 OLD ENGLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2625
Mailing Address - Country:US
Mailing Address - Phone:407-629-0507
Mailing Address - Fax:
Practice Address - Street 1:1000 OLD ENGLAND AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2625
Practice Address - Country:US
Practice Address - Phone:407-629-0507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME28258207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
220023654OtherRAILROAD MEDICARE
FL051915400Medicaid
220023654OtherRAILROAD MEDICARE
FL47442ZMedicare PIN