Healthcare Provider Details

I. General information

NPI: 1063080950
Provider Name (Legal Business Name): YUDELKIS SABORIT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

982166 NEBRASKA MEDICAL CTR
OMAHA NE
68198
US

IV. Provider business mailing address

982161 NEBRASKA MEDICAL CTR
OMAHA NE
68198-2161
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-4000
  • Fax:
Mailing address:
  • Phone: 402-955-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number37499
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number23652
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number37499
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: