Provider Demographics
NPI:1790039147
Name:AFANADOR CASTIBLANCO, SARAMARIA (MD)
Entity Type:Individual
Prefix:
First Name:SARAMARIA
Middle Name:
Last Name:AFANADOR CASTIBLANCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 NW 10TH AVENUE
Mailing Address - Street 2:ROSENSTIEL MEDICAL SCIENCE BUILDING - ROOM 7052
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1015
Mailing Address - Country:US
Mailing Address - Phone:305-243-6388
Mailing Address - Fax:
Practice Address - Street 1:1600 NW 10TH AVENUE
Practice Address - Street 2:ROSENSTIEL MEDICAL SCIENCE BUILDING - ROOM 7052
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-243-6388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301111923207R00000X, 207RC0200X
FLME141548207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine