Active NPI
Alfonso H Saa MD PA New Corp
- Psychiatry Physician
- Tampa, FL
National Provider Identifier
1700808698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME34182
- Legal business name
- ALFONSO H SAA MD PA NEW CORP
- Practice address
- 4620 N. Habana Ave.
Suite 202
Tampa, FL 33614-7107 - Phone
- (813) 875-8550
- Fax
- (813) 875-8402
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfonso H. Saa, M.D.
- Title
- Director
- Phone
- (813) 875-8550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME34182 | FL | Primary |
Addresses
Primary practice location
4620 N. Habana Ave.
Suite 202
Tampa, FL 33614-7107
Mailing address
4620 N. Habana Ave.
Suite 202
Tampa, FL 33614-7107
Phone (813) 875-8550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4620 N Habana Ave
Ste 202
Tampa, FL 33614
Phone (786) 707-9958
508 S Habana Ave
Ste 255
Tampa, FL 33609
Phone (813) 875-8550
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Tampa, FL
- NPI 1588845051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733270400000",
"number": "1700808698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 N. HABANA AVE.",
"address_2": "SUITE 202",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147107",
"telephone_number": "813-875-8550",
"fax_number": "813-875-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 N. HABANA AVE.",
"address_2": "SUITE 202",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147107",
"telephone_number": "813-875-8550",
"fax_number": "813-875-8402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALFONSO H SAA MD PA NEW CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2024-12-04",
"status": "A",
"authorized_official_last_name": "SAA",
"authorized_official_first_name": "ALFONSO",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "813-875-8550",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME34182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.