Basic Information
Provider Information
NPI: 1275986226
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ONETO
FirstName: SABRINA
MiddleName: M.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4300 ALTON RD
Address2: BLUM BUILDING, SUITE 2400
City: MIAMI BEACH
State: FL
PostalCode: 331402948
CountryCode: US
TelephoneNumber: 3056742277
FaxNumber:  
Practice Location
Address1: 4300 ALTON RD
Address2: BLUM BUILDING, SUITE 2400
City: MIAMI BEACH
State: FL
PostalCode: 331402948
CountryCode: US
TelephoneNumber: 3056742277
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2016
LastUpdateDate: 07/14/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


Home