Provider Demographics
NPI:1710727268
Name:SORRIBES ZAMORA, ERNESTO MANUEL SR (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MR
First Name:ERNESTO
Middle Name:MANUEL
Last Name:SORRIBES ZAMORA
Suffix:SR
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1558 SW 6TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-3773
Mailing Address - Country:US
Mailing Address - Phone:786-483-6942
Mailing Address - Fax:
Practice Address - Street 1:1558 SW 6TH ST APT 3
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3773
Practice Address - Country:US
Practice Address - Phone:786-483-6942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2024012099363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily