Provider Demographics
NPI:1851577449
Name:MARIN, CRISTINA SOBRADO (MD)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:SOBRADO
Last Name:MARIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:SOBRADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5101 SW 8TH STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:306-262-6060
Mailing Address - Fax:305-262-6038
Practice Address - Street 1:9195 SW 72ND STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173
Practice Address - Country:US
Practice Address - Phone:786-591-1313
Practice Address - Fax:305-774-5645
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL002205207R00000X
FLME111290207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0055647000Medicaid