Provider Demographics
NPI:1932805207
Name:MIGUEL-PAULINO, SARA ISABEL
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ISABEL
Last Name:MIGUEL-PAULINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8218 72ND ST E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34201-2146
Mailing Address - Country:US
Mailing Address - Phone:201-233-3262
Mailing Address - Fax:
Practice Address - Street 1:8218 72ND ST E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34201-2146
Practice Address - Country:US
Practice Address - Phone:201-233-3262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist