Active NPI
Sergio M Alegre-Boschetti, MD
- Clinical Cardiac Electrophysiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 021899
- Practice address
- 445 Lenox Rd
Brooklyn, NY 11203-2017 - Phone
- (718) 270-1000
- NPI assigned
- Mar 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 021899 | PR | Primary |
Addresses
Primary practice location
445 Lenox Rd
Brooklyn, NY 11203-2017
Mailing address
PO Box 363929
San Juan, PR 00936-3929
Phone (787) 672-0000
Other practice location 1
10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-3670
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone (787) 844-2545
2703 Calle El Monte
Ponce, PR 00716
410 Ave Hostos
Mayaguez, PR 00682-1560
Phone (787) 321-8830
917 Ave Tito Castro
Ponce, PR 00716-4717
Phone (787) 692-3029
Hospital & facility affiliations
- Hospital Episcopal San Lucas II
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021899 | PR | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrhythmia Group LLC | Clinical Cardiac Electrophysiology | Current | Accepting new patients |
| Puerto Rico Skin & Laser LLC | Past | Accepting new patients |
Locations
619 Ave San Luis
Arecibo, PR 00612
Phone 78765072721044
1845 Carr 2
Ste 705
Bayamon, PR 00959
Phone (787) 432-8161
100 Ave Luis Munoz Marin
#126
Caguas, PR 00725
Phone (787) 777-1363
410 Ave Hostos
Ste 2
Mayaguez, PR 00682
Phone (787) 360-3244
917 Ave Tito Castro
#20076
Ponce, PR 00716
Phone (787) 692-3029
Organizations & group practices 2
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.
-
- Clinical Cardiac Electrophysiology Physician
- Ponce, PR
- NPI 1437569969
-
- Dermatology Physician
- San Juan, PR
- NPI 1285300251
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1841295557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692489600000",
"number": "1376074534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 363929",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009363929",
"telephone_number": "787-672-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 LENOX RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032017",
"telephone_number": "718-270-1000"
}
],
"practiceLocations": [
{
"address_1": "10 Calle Casia",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009213200",
"country_code": "US",
"telephone_number": "787-641-3670",
"fax_number": "787-641-4561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALEGRE-BOSCHETTI",
"first_name": "SERGIO",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2023-08-20",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "PR",
"license": "021899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.