Provider Demographics
NPI:1457993909
Name:ALBORNOZ, ANDREA (HAS)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:ALBORNOZ
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13041 NW 1ST ST APT 108
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-3219
Mailing Address - Country:US
Mailing Address - Phone:305-587-6105
Mailing Address - Fax:
Practice Address - Street 1:13041 NW 1ST ST APT 108
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-3219
Practice Address - Country:US
Practice Address - Phone:305-587-6105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5485237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist