Individual provider Active NPI

Saba Hidalgo Millares, O.D

  • Optometrist
  • Coral Gables, FL
National Provider Identifier
1053485136
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FL 1168 Issued in FL
Practice address
2256 Coral Way
Coral Gables, FL 33145-3509
Phone
(305) 858-6414
Fax
(305) 858-6437
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X FL 1168 FL Primary

Addresses

Primary practice location

2256 Coral Way
Coral Gables, FL 33145-3509

Mailing address

2256 Coral Way
Coral Gables, FL 33145-3509
Phone (305) 858-6414

Other names 1

  • Dr. Saba Hidlago Millares Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000163 FL Practitioner - Optometry 8224296397 Practice locations: Coral Gables, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2256 Coral Way
Coral Gables, FL 33145-3509
Phone (305) 858-6414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FL 1168FLMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053485136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453509",
            "telephone_number": "305-858-6414",
            "fax_number": "305-858-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453509",
            "telephone_number": "305-858-6414",
            "fax_number": "305-858-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARES",
        "first_name": "SABA",
        "middle_name": "HIDALGO",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL 1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABA",
            "last_name": "MILLARES",
            "middle_name": "HIDLAGO",
            "prefix": "DR.",
            "credential": "O.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.