Provider Demographics
NPI:1427600212
Name:SOBRINO ALONSO, MAITANE
Entity Type:Individual
Prefix:MRS
First Name:MAITANE
Middle Name:
Last Name:SOBRINO ALONSO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE TORRE GOROSTITZAGA 2 BIS, 1A
Mailing Address - Street 2:
Mailing Address - City:BILBAO (VIZCAYA)
Mailing Address - State:BILBAO (VIZCAYA)
Mailing Address - Zip Code:48004
Mailing Address - Country:ES
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PASEO DR. JOSE CELSO BARBOSA, SCHOOL OF MEDICINE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program