Provider Demographics
NPI:1306957196
Name:SABATES, ENRIQUE J (OPT)
Entity type:Individual
Prefix:MR
First Name:ENRIQUE
Middle Name:J
Last Name:SABATES
Suffix:
Gender:M
Credentials:OPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:951 S LE JEUNE RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2616
Mailing Address - Country:US
Mailing Address - Phone:305-442-4422
Mailing Address - Fax:305-442-0770
Practice Address - Street 1:951 S LE JEUNE RD
Practice Address - Street 2:SUITE 206
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2616
Practice Address - Country:US
Practice Address - Phone:305-442-4422
Practice Address - Fax:305-442-0770
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0741156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician