Healthcare Provider Details

I. General information

NPI: 1366160848
Provider Name (Legal Business Name): SABRINA VALENTIN CARDONA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 08/19/2022
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIO CANTERA CARR #2 KM 44 H8
MANATI PR
00674
US

IV. Provider business mailing address

PO BOX 577
VEGA BAJA PR
00694-0577
US

V. Phone/Fax

Practice location:
  • Phone: 787-346-6985
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: