Individual provider Active NPI

Sabdi Jesse Perez Torres, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Mayaguez, PR
National Provider Identifier
1174646202
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
16527 Issued in PR
Practice address
351 Ave Hostos
Medical Emporium Suite 205
Mayaguez, PR 00681-1503
Phone
(787) 831-5831
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16527 PR
General Practice Physician 208D00000X 16527 PR
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QG0300X 16527 PR Primary

Addresses

Primary practice location

351 Ave Hostos
Medical Emporium Suite 205
Mayaguez, PR 00681-1503

Mailing address

PO Box 631
Cabo Rojo, PR 00623-0631
Phone (787) 831-5831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071109000340 PR Practitioner - Geriatric MedicinePractitioner - General PracticePractitioner - Family Practice 1254429145 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR; San Sebastian, PR

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMR Instituto de Medicina de Familia del Oeste CSPGroup PAC ID 0345300216, 2 clinicians

Practice addresses (Care Compare)

351 Ave Hostos
Mayaguez, PR 00680-1502
Phone (787) 831-5831

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MMR Instituto de Medicina de Familia del Oeste CSP Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Geriatrics Care LLC Single Specialty CurrentSince May 1, 2022 Accepting new patients
Performance Sports Med LLC Single Specialty CurrentSince May 1, 2022 Accepting new patients
MMR Instituto de Medicina de Famillia del Oeste Single Specialty Current Accepting new patients

Locations

351 Ave Hostos
Ste 205
Mayaguez, PR 00680
Phone (787) 831-5831

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1174646202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230631",
            "telephone_number": "787-831-5831",
            "fax_number": "787-827-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS",
            "address_2": "MEDICAL EMPORIUM SUITE 205",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811503",
            "telephone_number": "787-831-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ TORRES",
        "first_name": "SABDI",
        "middle_name": "JESSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16527",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16527",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "16527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.