Provider Demographics
NPI:1932646593
Name:SORIANO, ZARINA JOY SIMEON
Entity Type:Individual
Prefix:MRS
First Name:ZARINA JOY
Middle Name:SIMEON
Last Name:SORIANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ZARINA JOY
Other - Middle Name:DELA PENA
Other - Last Name:SIMEON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1520 NW 125TH AVE APT 10301
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-5241
Mailing Address - Country:US
Mailing Address - Phone:954-668-0974
Mailing Address - Fax:
Practice Address - Street 1:34515 BUSHNELL CT UNIT 12
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3629
Practice Address - Country:US
Practice Address - Phone:954-806-4499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-20
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10838225100000X
DEJ1-0003639225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLW232964724OtherAETNA