Healthcare Provider Details

I. General information

NPI: 1538073564
Provider Name (Legal Business Name): SABRINA VALLADARES PRIETO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 14TH ST
MIAMI FL
33136-2137
US

IV. Provider business mailing address

5850 SW 10TH ST
WEST MIAMI FL
33144-5166
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-2896
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberTGC955
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: