Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | ME0052094 | FL |
NPI | 1447257522 |
---|---|
Provider Name | Adrian Legaspi Sauter |
First Address | Hialeah, FL 33016-1897 |
Second Address | Hialeah, FL 33016-5511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 26/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000697900 | (05) | FL |
00275 | PREF. CARE. PRTN. PROV. # (01) | FL |
04603 | BCBS PROVIDER NUMBER (01) | FL |
104347 | AVMED PROVIDER NUMBER (01) | FL |
22404 | WELLCARE PROVIDER NUMBER (01) | FL |
4260320 | AETNA PROVIDER NUMBER (01) | FL |
5157424 | CCN PROVIDER NUMBER (01) | FL |
6089 | DIMENSION HLTH. PROV. # (01) | FL |
6237616-003 | CIGNA PROVIDER NUMBER (01) | FL |
732140 | FIRST HEALTH PROVIDER # (01) | FL |
D84798 | (02) | |
P00197 | DOC. CARE THRU PMG PROV # (01) | FL |