Provider Demographics
NPI:1669450789
Name:SORIANO, HORTENSIA V (DC)
Entity Type:Individual
Prefix:
First Name:HORTENSIA
Middle Name:V
Last Name:SORIANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 SW 62ND AVENUE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:38143
Mailing Address - Country:US
Mailing Address - Phone:305-665-0585
Mailing Address - Fax:305-662-1359
Practice Address - Street 1:7000 SW 62ND AVENUE
Practice Address - Street 2:SUITE 400
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:305-665-0585
Practice Address - Fax:305-662-1359
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70179Medicare ID - Type Unspecified
T85404Medicare UPIN