Provider Demographics
NPI:1740594001
Name:BECK-SAGUE, CONSUELO M (MD)
Entity Type:Individual
Prefix:DR
First Name:CONSUELO
Middle Name:M
Last Name:BECK-SAGUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CONSUELO
Other - Middle Name:M
Other - Last Name:SAGUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2600 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1425
Mailing Address - Country:US
Mailing Address - Phone:305-631-0660
Mailing Address - Fax:
Practice Address - Street 1:2600 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1425
Practice Address - Country:US
Practice Address - Phone:305-631-0660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 106939208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics