Miguel Angel Sarabia, SUB IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

99 Larch Rd
Groton, CT 06340-2916

Phone

(959) 201-0635

NPI assigned

Jul 29, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1396574414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LARCH RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402916",
            "telephone_number": "959-201-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LARCH RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402916",
            "telephone_number": "959-201-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARABIA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "SUB IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Rafael Sanchez, SUBIDC
• Dennis Raymond Sanders Jr., IDC
• Donna J Sanfilippo
• Gail Lee Sanjuan, FNP
• Jasper Lelis Santillan Jr., IDC
• Sarah Faucher LPC, LLC
• David Saunders
• Joshua Darren Savage, IDC
• Paul B. Schiowitz, IDC
• Alexandra Schott, DDS

• Independent Duty Corpsman in Groton, CT
• Providers in Groton, CT by specialty
• Independent Duty Corpsman in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.