Organization Active NPI

Prosabi LLC

  • Clinic/Center
  • Corozal, PR
National Provider Identifier
1497542385
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PROSABI LLC
Practice address
1 Calle Gandara # 32
Corozal, PR 00783-2055
Phone
(787) 466-2620
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Arlyn Rivera
Title
Presidenta
Phone
(787) 466-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1 Calle Gandara # 32
Corozal, PR 00783-2055

Mailing address

H6 Box 14875
Corozal, PR 00783
Phone (787) 466-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260401003635 PR Part B Supplier - Mass Immunization (Roster Biller Only) 8224535349 Practice locations: Corozal, PR

National Provider Directory

National Provider Directory

Locations

1 Calle Gandara
#32
Corozal, PR 00783
Phone (787) 466-2620

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1497542385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "H6 BOX 14875",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-466-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE GANDARA # 32",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007832055",
            "telephone_number": "787-466-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSABI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ARLYN",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-466-2620"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.