MEDICARE: ELISA CORZO-SANCHEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	9347352	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396154894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISA CORZO-SANCHEZ

Provider Business Mailing Address
First Line	:	8700 W FLAGLER ST STE 401
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-2549
Country	:	US
Telephone Number	:	786-759-1750
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 W FLAGLER ST STE 401
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-2549
Country	:	US
Telephone Number	:	786-759-1750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2014
Last Update Date	:	03/07/2025

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