1649524836 NPI number — SABER MEDICAL SERVICES CORP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649524836 NPI number — SABER MEDICAL SERVICES CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SABER MEDICAL SERVICES CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649524836
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/15/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3990 W FLAGLER ST
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
CORAL GABLES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33134-1644
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-443-9170
Provider Business Mailing Address Fax Number:
305-443-8441

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3990 W FLAGLER ST
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
CORAL GABLES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33134-1644
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-443-9170
Provider Business Practice Location Address Fax Number:
305-443-8441
Provider Enumeration Date:
11/09/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
OBESO
Authorized Official First Name:
FERNANDO
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
305-443-9170

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME 103534 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)