Organization Active NPI

Alfonso H Saa MD PA New Corp

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1700808698
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME34182 Issued in FL
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

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Alfonso H. Saa, M.D.NPI 1588845051
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20080327000698 FL Part B Supplier - Clinic/Group Practice 1052497203 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.