Eric Javier Sambolin Morales, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22678 Issued in PR

Practice address

Carr 114 KM 14.5
Barrio Sabana Grande
San German, PR 00683

Phone

(985) 860-2673

NPI assigned

Apr 19, 2019

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital de la Concepcion Hospital, San German, PR, CCN 400021

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eric J Sambolin Morales LLC

  • Internal Medicine Physician
  • San German, PR
  • NPI 1154057248

  Single Specialty

  Medicare reassignment NPD Authorized official
• Hospital de la Concepcion Inc

  • General Acute Care Hospital
  • San German, PR
  • NPI 1366484594

  Single Specialty

  NPD (past)
• Hospital de la Concepcion Inc

  • General Acute Care Hospital
  • San German, PR
  • NPI 1760362792
  NPD (past)
• Southwest Health Corp.

  dba Hospital Metropolitano de San German

  • General Acute Care Hospital
  • San German, PR
  • NPI 1063435782

  Single Specialty

  NPD (past)

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

• Hospital de la Concepcion Inc

  • General Acute Care Hospital
  • San German, PR
  • NPI 1366484594
  Care Compare affiliation

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1437712924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2114",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006832114",
            "telephone_number": "985-865-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 114 KM 14.5",
            "address_2": "BARRIO SABANA GRANDE",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "985-860-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBOLIN MORALES",
        "first_name": "ERIC",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "22678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Alvarez MD, CSP
• Betsy Yanira Ruiz, M.D.
• Sergy Emil Ruiz, MD
• Lymari Salazar-Rivera, M.D.
• Genesis Nicole Salazar
• Eleine M Sambolin
• San German X Ray & Body Imaging Center, PSC.
• Heriberto A Sanchez Guzman, M.D.
• Alfred Mercado Santana I
• Cesar Alejandro Santana

• Internal Medicine Physician in San German, PR
• Providers in San German, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.

Verify at the official NPI Registry.