Healthcare Provider Details

I. General information

NPI: 1902293475
Provider Name (Legal Business Name): ALBERTO ANDRES SABATES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2015
Last Update Date: 03/01/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 S CONGRESS AVE STE 102
ATLANTIS FL
33462-6636
US

IV. Provider business mailing address

463 NEWCASTLE ST
BOCA RATON FL
33487-4938
US

V. Phone/Fax

Practice location:
  • Phone: 561-967-5033
  • Fax:
Mailing address:
  • Phone: 954-821-4944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number137010
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: