Individual provider Active NPI

Samuel Sostre Castillo, M.D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1184652869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20700000X Issued in PR
Practice address
T-31 Carr 21
Las Lomas
San Juan, PR 00921-3312
Phone
(787) 781-1477
Fax
(787) 793-2881
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

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
Internal Medicine Physician 207R00000X 20700000X PR Primary

Addresses

Primary practice location

T-31 Carr 21
Las Lomas
San Juan, PR 00921-3312

Mailing address

325 Calle Sorbona
University Gardens
San Juan, PR 00927-4012
Phone (787) 781-1477

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20700000XPRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Susoni Health Community Services Corp Past Accepting new patients
Dr Susoni Health Community Services Corp Past Accepting new patients
Integrate Community Health System, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184652869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CALLE SORBONA",
            "address_2": "UNIVERSITY GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274012",
            "telephone_number": "787-781-1477",
            "fax_number": "787-793-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "T-31 CARR 21",
            "address_2": "LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213312",
            "telephone_number": "787-781-1477",
            "fax_number": "787-793-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSTRE CASTILLO",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "20700000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.