Provider Demographics
NPI:1659718864
Name:JORGE GIL-SABINA, MD
Entity Type:Organization
Organization Name:JORGE GIL-SABINA, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:GIL-SABINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-279-1515
Mailing Address - Street 1:14221 SW 120TH ST
Mailing Address - Street 2:SUITE 129
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7236
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14221 SW 120TH ST
Practice Address - Street 2:SUITE 129
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7236
Practice Address - Country:US
Practice Address - Phone:305-279-1515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. OSCAR L HERNANDEZ, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84841332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site