Eleine M Sambolin

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

24809 Issued in PR

Practice address

Street 3 Urbanizacion El Convento
San German, PR 00683

Phone

(407) 968-4748

NPI assigned

Feb 13, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1629832266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET 3 URBANIZACIO EL CONVENTO",
            "address_2": "A 51",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "939-265-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 3 URBANIZACION EL CONVENTO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "407-968-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBOLIN",
        "first_name": "ELEINE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "24809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• General Practice Physician in San German, PR
• Providers in San German, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.