Provider Demographics
NPI:1164382727
Name:ALBONIGA SOBRINO, SANDRO (APRN)
Entity type:Individual
Prefix:
First Name:SANDRO
Middle Name:
Last Name:ALBONIGA SOBRINO
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W 64TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2672
Mailing Address - Country:US
Mailing Address - Phone:786-537-0600
Mailing Address - Fax:
Practice Address - Street 1:120 W 64TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2672
Practice Address - Country:US
Practice Address - Phone:786-537-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11042625363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily