Individual provider Active NPI

Sara M Vicente Alba, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Caguas, PR
National Provider Identifier
1811999451
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
13431 Issued in PR
Practice address
D1 Calle Baldorioty
Paradis
Caguas, PR 00725-2655
Phone
(787) 746-4843
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 13431 PR Primary

Addresses

Primary practice location

D1 Calle Baldorioty
Paradis
Caguas, PR 00725-2655

Mailing address

PO Box 995
Caguas, PR 00726-0995
Phone (787) 704-3435

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
I20110620000637 PR Practitioner - Physical Medicine and Rehabilitation 0941488068 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Puerto Rico School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

D1 Calle Baldorioty
Caguas, PR 00725-2655
Phone (787) 746-4843

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13431PRMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enrique a Rivera Lugo PastSince Aug 7, 2022 Accepting new patients

Organizations & group practices 1

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1811999451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 995",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260995",
            "telephone_number": "787-704-3435",
            "fax_number": "787-704-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D1 CALLE BALDORIOTY",
            "address_2": "PARADIS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252655",
            "telephone_number": "787-746-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE ALBA",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "13431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.