Provider Demographics
NPI:1871373258
Name:SABORIT DEL SOL, ERNESTO ALEJANDRO
Entity type:Individual
Prefix:
First Name:ERNESTO
Middle Name:ALEJANDRO
Last Name:SABORIT DEL SOL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9722 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3515
Mailing Address - Country:US
Mailing Address - Phone:786-569-2861
Mailing Address - Fax:
Practice Address - Street 1:9722 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3515
Practice Address - Country:US
Practice Address - Phone:786-569-2861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician