Provider Demographics
NPI:1790126787
Name:SAPORITO, CIBELE SHIMABUKURO (OD)
Entity Type:Individual
Prefix:MS
First Name:CIBELE
Middle Name:SHIMABUKURO
Last Name:SAPORITO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5313 MCPHERSON RD
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6832
Mailing Address - Country:US
Mailing Address - Phone:956-795-8310
Mailing Address - Fax:956-795-8313
Practice Address - Street 1:5313 MCPHERSON RD
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6832
Practice Address - Country:US
Practice Address - Phone:956-795-8310
Practice Address - Fax:956-795-8313
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8278T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8278TOtherTX. LIC