Individual provider Active NPI

Daniel Saavedra, MD

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1689089583
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18802 Issued in PR
Practice address
1560 Calle Bori
San Juan, PR 00927-6113
Phone
(787) 957-1339
NPI assigned
Jun 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 18802 PR
Psychiatry Physician 2084P0800X 18802 PR Primary

Addresses

Primary practice location

1560 Calle Bori
San Juan, PR 00927-6113

Mailing address

1560 Calle Bori
San Juan, PR 00927-6113
Phone (787) 957-1339

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
I20220927002689 PR Practitioner - Psychiatry 1456737576 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18802PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation Child & Adolescent Psychiatry CurrentSince Aug 15, 2022 Accepting new patients
Tiber Health, Public Benefit Corporation CurrentSince Aug 15, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcdsaaved@yourcarecommunity.org

Organizations & group practices 2

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1689089583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 CALLE BORI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276113",
            "telephone_number": "787-957-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 CALLE BORI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276113",
            "telephone_number": "787-957-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAVEDRA",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "18802",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "18802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.