MEDICARE: CLAUDIO SOBERANES PT

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	225100000X	Physical Therapist	PT16139	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E3343X	OTHER	FL	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1457471955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIO SOBERANES PT

Provider Business Mailing Address
First Line	:	4730 SW 72ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4518
Country	:	US
Telephone Number	:	786-362-5482
Fax Number	:	305-397-2846

Provider Business Practice Location Address
First Line	:	4730 SW 72ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4518
Country	:	US
Telephone Number	:	786-362-5482
Fax Number	:	305-397-2846

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	11/04/2021

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Directions to “ CLAUDIO SOBERANES PT” Practice Location

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