Elizabeth Laura Pancorbo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11007512 Issued in FL

Practice address

11361 SW 160TH Ave
Miami, FL 33196-4285

Phone

(786) 201-9350

NPI assigned

Aug 7, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inovex Wellness & Research Center, LLC

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1700744414
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1831709377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11361 SW 160TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964285",
            "telephone_number": "786-201-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11361 SW 160TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964285",
            "telephone_number": "786-201-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCORBO",
        "first_name": "ELIZABETH",
        "middle_name": "LAURA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panamerican Health Center Inc
• Arvind Vasant Panchoo, M.D.
• Armando Manuel Pancorbo Arencibia, M.D.
• Cristobal Pancorbo Madrigal, CSA
• Dario Pancorbo, MD
• Juan Pablo Pancorbo
• Flavia Pancorvo, LCSW
• Jacklyn Reyes Pancrudo, D.O.
• Abhishek Pandey, MD
• Anita Pandey, DMD

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.