Individual provider Active NPI

Ricardo J Saade, M.D.

  • Urology Physician
  • Manati, PR
National Provider Identifier
1235199167
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
14038 Issued in PR
Practice address
Hernandez Carrion St #200 Suite 210
MMC Professional Plaza
Manati, PR 00674-4688
Phone
(787) 621-4747
Fax
(787) 621-3263
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 14038 PR Primary

Addresses

Primary practice location

Hernandez Carrion St #200 Suite 210
MMC Professional Plaza
Manati, PR 00674-4688

Mailing address

Hernandez Carron Street 200 MMC Professional Plaza
Suite 4210
Manati, PR 00674-0688
Phone (787) 621-4747

Other identifiers 1

IdentifierTypeStateIssuer
DM 146837OtherPRPR DRUGS LICENCES

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
I20040315000426 PR Practitioner - Urology 2062301211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University Central del Caribe Escuela de Medicina, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hernandez Carrion St
200 Ste. 210 MMC Professional Plaza
Manati, PR 00674-4688

MMC Professional Plaza
200 C/ Hernandez Carrion Suite 4210
Manati, PR 00674-4688

Hospital & facility affiliations

  • Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14038PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Urology, P.C.S CurrentSince Jul 1, 2008 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235199167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HERNANDEZ CARRON STREET 200 MMC PROFESSIONAL PLAZA",
            "address_2": "SUITE 4210",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740688",
            "telephone_number": "787-621-4747",
            "fax_number": "787-621-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HERNANDEZ CARRION ST #200 SUITE 210",
            "address_2": "MMC PROFESSIONAL PLAZA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744688",
            "telephone_number": "787-621-4747",
            "fax_number": "787-621-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAADE",
        "first_name": "RICARDO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "14038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR DRUGS LICENCES",
            "identifier": "DM 146837",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.