Provider Demographics
NPI:1528056256
Name:SABOGAL, LUIS FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:FRANCISCO
Last Name:SABOGAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 SW 27TH AVE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2457
Mailing Address - Country:US
Mailing Address - Phone:305-445-2404
Mailing Address - Fax:305-443-8759
Practice Address - Street 1:1800 SW 27TH AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2457
Practice Address - Country:US
Practice Address - Phone:305-445-2404
Practice Address - Fax:305-443-8759
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0072083174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG41517Medicare UPIN
FLK5386Medicare ID - Type Unspecified