Active NPI
Saul Alexis Sandoval Rodriguez, MD
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1871243873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 17202-I
- Practice address
- Hospital Pediatrico Oficina 1-a-35
Carr. 22, Bo. Monacillos, Centro Medico
San Juan, PR 00935 - Phone
- (787) 474-0333
- NPI assigned
- Mar 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17202-I | PR | |
| Pediatrics Physician | 208000000X | 17202-I | PR | Primary |
Addresses
Primary practice location
Hospital Pediatrico Oficina 1-a-35
Carr. 22, Bo. Monacillos, Centro Medico
San Juan, PR 00935
Mailing address
Urb Crown Hills Calle Guamai 1768, San Juan PR, 00926
San Juan, PR 00926
Phone (787) 697-6938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17202-I | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1871243873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB CROWN HILLS CALLE GUAMAI 1768, SAN JUAN PR, 00926",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-697-6938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL PEDIATRICO OFICINA 1-A-35",
"address_2": "CARR. 22, BO. MONACILLOS, CENTRO MEDICO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00935",
"telephone_number": "787-474-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL RODRIGUEZ",
"first_name": "SAUL",
"middle_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-24",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "17202-I",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "17202-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Viviana Sanchez
- Sand Comprehensive Care and Rehabilitation Center LLC
- Sanda I Rivera Llamas, MD
- Lorelei Marie Sandoval Catarineu, PSY.D.
- Paola Alejandra Nicole Sandoval Perez, PHARMD
- Analisse Sandoval Seneriz
- Francisco Javier Sandoval Velazquez, MD
- Adriana D Sandoval, MD PHL
- Lyanne Sandoval, PHD
- Mariela Sandoval, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.