Individual provider Active NPI

Nelson Ivan Sanabria-Hilerio, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1679560460
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16039 Issued in PR
Practice address
Carr 107
Suite E
Aguadilla, PR 00603-5970
Phone
(787) 882-6301
Fax
(787) 882-6301
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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 16039 PR Primary

Addresses

Primary practice location

Carr 107
Suite E
Aguadilla, PR 00603-5970

Mailing address

HC 1 Box 16776
Aguadilla, PR 00603-9348
Phone (787) 891-4803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150209001389 TX Practitioner - Emergency Medicine 8628092715 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16039PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 17, 2014 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 17, 2014 Accepting new patients
Sanabria Emergency Medical Service Corp. PastSince Sep 23, 2009 Accepting new patients
Bella Vista Hospital Inc Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1679560460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 16776",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039348",
            "telephone_number": "787-891-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 107",
            "address_2": "SUITE E",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035970",
            "telephone_number": "787-882-6301",
            "fax_number": "787-882-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANABRIA-HILERIO",
        "first_name": "NELSON",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.