Provider Demographics
NPI:1053408880
Name:SABATES, RICARDO JOSE (MD)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:JOSE
Last Name:SABATES
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 1:4051 SW 137TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3084
Mailing Address - Country:US
Mailing Address - Phone:305-893-2333
Mailing Address - Fax:
Practice Address - Street 1:4051 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-3084
Practice Address - Country:US
Practice Address - Phone:305-893-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL33389208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine