Provider Demographics
NPI:1215086343
Name:SAAVEDRA, ONELIA DEL POZO (MD)
Entity type:Individual
Prefix:
First Name:ONELIA
Middle Name:DEL POZO
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E 49TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1853
Mailing Address - Country:US
Mailing Address - Phone:305-362-5600
Mailing Address - Fax:305-362-5604
Practice Address - Street 1:110 E 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1853
Practice Address - Country:US
Practice Address - Phone:305-362-5600
Practice Address - Fax:305-362-5604
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63010207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL371506000Medicaid
FL371506000Medicaid
FL18227AMedicare PIN
FLF55018Medicare UPIN
FL18227Medicare PIN