Individual provider Active NPI

Sara M. Reyes-Pesante, M.D.

  • General Practice Physician
  • Guaynabo, PR
National Provider Identifier
1619092236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15489 Issued in PR
Practice address
E17 Calle Benitez
Sierra Berdecia
Guaynabo, PR 00969-6231
Phone
(787) 790-6202
NPI assigned
Mar 20, 2007
Sex
Female
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
General Practice Physician 208D00000X 15489 PR Primary

Addresses

Primary practice location

E17 Calle Benitez
Sierra Berdecia
Guaynabo, PR 00969-6231

Mailing address

E17 Calle Benitez
Sierra Berdecia
Guaynabo, PR 00969-6231
Phone (787) 790-6202

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
I20081223000528 PR Practitioner - General Practice 2567524697 Practice locations: San Juan, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619092236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E17 CALLE BENITEZ",
            "address_2": "SIERRA BERDECIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009696231",
            "telephone_number": "787-790-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E17 CALLE BENITEZ",
            "address_2": "SIERRA BERDECIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009696231",
            "telephone_number": "787-790-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-PESANTE",
        "first_name": "SARA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.