Individual provider Active NPI

Enrico G Sartori, MD

  • Neurology Physician
  • San Juan, PR
National Provider Identifier
1306049770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
15940 Issued in PR
Practice address
239 Ave Arterial Hostos
Suite 603
San Juan, PR 00918-1474
Phone
(787) 274-1717
Fax
(787) 281-0815
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
Yes

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
Neurology Physician 2084N0400X 15940 PR Primary

Addresses

Primary practice location

239 Ave Arterial Hostos
Suite 603
San Juan, PR 00918-1474

Mailing address

239 Ave Arterial Hostos
Suite 603
San Juan, PR 00918-1474
Phone (787) 274-1717

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
I20080123000005 PR Practitioner - Neurology 6305927864 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

239 Arterial Hostos
603 Edif Capital Center
San Juan, PR 00918-1347

239 Ave Arterial Hostos
San Juan, PR 00918-1347
Phone (787) 274-1717

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15940PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306049770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "SUITE 603",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181474",
            "telephone_number": "787-274-1717",
            "fax_number": "787-281-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "SUITE 603",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181474",
            "telephone_number": "787-274-1717",
            "fax_number": "787-281-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTORI",
        "first_name": "ENRICO",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "15940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.