Omar Rodriguez Sanabria, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23215 Issued in PR

Practice address

Calle Concepcion Vera 550
Carr 110 Barrio Pueblo
Moca, PR 00676

Phone

(787) 877-8000

NPI assigned

Dec 9, 2021

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital San Carlos Incorporado

  dba Hospital San Carlos Borromeo

  • Rural Acute Care Hospital
  • Moca, PR
  • NPI 1104856889
  Medicare reassignment NPD
• Emergency Physician Providers, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Arecibo, PR
  • NPI 1245775089
  Medicare reassignment
• Servicios Hospitalistas San Carlos Borromeo

  • Hospitalist Physician
  • Moca, PR
  • NPI 1891467429
  NPD
• De Jesus & Matos Medical Imaging Professionals, PSC

  • Diagnostic Radiology Physician
  • Moca, PR
  • NPI 1548713647
  NPD (past)
• Platinum Emergency Physicians, PSC

  • Emergency Medicine Physician
  • Arecibo, PR
  • NPI 1285980052
  NPD (past)
• Servicios de Anestesia Hospital San Carlos Borromeo

  • Anesthesiology Physician
  • Moca, PR
  • NPI 1780286542
  NPD (past)

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1710646559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4202",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054202",
            "telephone_number": "787-658-0000",
            "fax_number": "787-819-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CONCEPCION VERA 550",
            "address_2": "CARR 110 BARRIO PUEBLO",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ SANABRIA",
        "first_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisangely Rivera, OTL
• Nancy Rivera, MTS
• Xochitl P Rivera, RPH
• Rje Ambulance Sevices
• Jayleen Rodriguez Lamela, RN
• Yadira Socorro Rodriguez Vargas, MD
• Fritz Emmanuel Rodriguez-Sallaberry, M.D.
• Francisco Jose Rodriguez, MD
• Jessica Rodriguez, DC
• Rocio Rodriguez, O.D.

• General Practice Physician in Moca, PR
• Providers in Moca, 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 Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.