Provider Demographics
NPI:1053485136
Name:MILLARES, SABA HIDALGO (OD)
Entity type:Individual
Prefix:DR
First Name:SABA
Middle Name:HIDALGO
Last Name:MILLARES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SABA
Other - Middle Name:HIDLAGO
Other - Last Name:MILLARES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:2256 CORAL WAY
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3509
Mailing Address - Country:US
Mailing Address - Phone:305-858-6414
Mailing Address - Fax:305-858-6437
Practice Address - Street 1:2256 CORAL WAY
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-3509
Practice Address - Country:US
Practice Address - Phone:305-858-6414
Practice Address - Fax:305-858-6437
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL 1168152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist