Eric J Sambolin Morales LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ERIC J SAMBOLIN MORALES LLC

Practice address

#8 C. Luz Celenia Tirado
San German, PR 00683

Phone

(985) 860-2673

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Eric J Sambolin Morales, MDNPI 1437712924

Title

Member

Phone

(985) 860-2673

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Javier Sambolin Morales, MD

  • Internal Medicine Physician
  • San German, PR
  • NPI 1437712924

  Single Specialty

  Medicare reassignment NPD Authorized official
• Jose Ramon Fuentes Rodriguez, M.D.

  • Anesthesiology Physician
  • San German, PR
  • NPI 1619962446
  NPD
• Priscilla Milagros Soto Justiniano, MD

  • Internal Medicine Physician
  • Sabana Grande, PR
  • NPI 1447813894
  NPD
• Juan A Comas Ortiz, MD

  • General Practice Physician
  • Sabana Grande, PR
  • NPI 1891365516
  NPD (past)

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1154057248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2114",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006832114",
            "telephone_number": "985-860-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#8 C. LUZ CELENIA TIRADO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "985-860-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J SAMBOLIN MORALES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "SAMBOLIN MORALES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "985-860-2673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in San German, PR
• Providers in San German, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.