Provider Demographics
NPI:1235987835
Name:SABORIO, ALICE MIRIAM (GED)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:MIRIAM
Last Name:SABORIO
Suffix:
Gender:F
Credentials:GED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2163
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2163
Mailing Address - Country:US
Mailing Address - Phone:787-314-7553
Mailing Address - Fax:
Practice Address - Street 1:81 CALLE MORSE # B
Practice Address - Street 2:
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714-2764
Practice Address - Country:US
Practice Address - Phone:787-314-7553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000946208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation