Individual provider Active NPI

Alberto Sastre, MD

  • General Practice Physician
  • Ciales, PR
National Provider Identifier
1295702504
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8491 Issued in PR
Practice address
10 Calle de Diego
Ciales, PR 00638-3221
Phone
(787) 871-4636
Fax
(787) 871-0730
NPI assigned
Mar 6, 2006
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 8491 PR Primary

Addresses

Primary practice location

10 Calle de Diego
Ciales, PR 00638-3221

Mailing address

10 Calle de Diego
Ciales, PR 00638-3221
Phone (787) 871-4636

Other names 1

  • Dr. Alberto Sastre Former name

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
I20040108000231 PR Practitioner - General Practice 1951200906 Practice locations: Ciales, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Calle Jose de Diego
Suite 4
Ciales, PR 00638-3221
Phone (787) 871-4636

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8491PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1295702504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE DE DIEGO",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383221",
            "telephone_number": "787-871-4636",
            "fax_number": "787-871-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE DE DIEGO",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383221",
            "telephone_number": "787-871-4636",
            "fax_number": "787-871-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASTRE",
        "first_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-06",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBERTO",
            "last_name": "SASTRE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ciales, PR

Sources for this page

Verify at the official NPI Registry.