Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME117297 | FL |
N | 111NI0900X | Internist | ME117297 | FL |
Y | 207RN0300X | Nephrologist | ME117297 | FL |
NPI | 1033418512 |
---|---|
Provider Name | Alberto Jose Sabucedo |
First Address | Miami, FL 33144-4132 |
Second Address | Miami, FL 33144-4132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2011 |
Last Update Date | 14/05/2021 |