Active NPI
Sasan Mohammadi Shibani, M.D.
- General Acute Care Hospital
- Manati, PR
National Provider Identifier
1124383948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 29200-R
- Practice address
- Calle Hernandez Carrion
Urb Atenas
Manati, PR 00674-2090 - Phone
- (301) 602-6741
- NPI assigned
- Jul 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 29200-R | PR | Primary |
Addresses
Primary practice location
Calle Hernandez Carrion
Urb Atenas
Manati, PR 00674-2090
Mailing address
PO Box 2090
Manati, PR 00674-2090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29200-R | PR | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344038400000",
"number": "1124383948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2090",
"city": "MANATI",
"state": "PR",
"postal_code": "006742090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE HERNANDEZ CARRION",
"address_2": "URB ATENAS",
"city": "MANATI",
"state": "PR",
"postal_code": "006742090",
"telephone_number": "301-602-6741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIBANI",
"first_name": "SASAN",
"middle_name": "MOHAMMADI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-09",
"last_updated": "2012-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "PR",
"license": "29200-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
- Servicios de Patologia de Manati, PSC
- Servicios Emergencias Pediatricas Integrados
- Servicios Gineco-Obstetricos del Norte PSC
- Servicios Reumatologicos del Norte
- Servicios Visuales del Norte, Inc.
- Ana Gabriela Silva
- Jorge E Silva, M.D,
- Milagros Ivette Silva, MPH
- SM Imaging PSC
- Sociedad de Radiologos Consultores,P.S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.