Provider Demographics
NPI:1972769271
Name:ESTORINO URIBASTERRA, ANA (IBCLC)
Entity type:Individual
Prefix:MS
First Name:ANA
Middle Name:
Last Name:ESTORINO URIBASTERRA
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6913 SEAGRAPE TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2929
Mailing Address - Country:US
Mailing Address - Phone:954-435-4471
Mailing Address - Fax:
Practice Address - Street 1:17901 NW 5TH ST STE 202
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-2810
Practice Address - Country:US
Practice Address - Phone:954-435-4471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN