Individual provider Active NPI

Renato V Sartori, MD

  • Neurology Physician
  • San Juan, PR
National Provider Identifier
1902894587
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
003965 Issued in PR
Practice address
239 Ave Arterial Hostos
Suite 603
San Juan, PR 00918-1474
Phone
(787) 274-1717
Fax
(787) 281-0815
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 003965 PR Primary
Clinical Neurophysiology Physician 2084N0600X 003965 PR

Addresses

Primary practice location

239 Ave Arterial Hostos
Suite 603
San Juan, PR 00918-1474

Mailing address

239 Ave Arterial Hostos
Suite 603
San Juan, PR 00918-1474
Phone (787) 274-1717

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
I20110307000114 PR Practitioner - Neurology 5092997478 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

239 Arterial Hostos
Suite 603
San Juan, PR 00918-1347

239 Ave Arterial Hostos
Suite 603
San Juan, PR 00918-1347
Phone (787) 274-1717

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003965PRMDClinical Neurophysiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1902894587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "SUITE 603",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181474",
            "telephone_number": "787-274-1717",
            "fax_number": "787-281-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "SUITE 603",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181474",
            "telephone_number": "787-274-1717",
            "fax_number": "787-281-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTORI",
        "first_name": "RENATO",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "003965",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PR",
            "license": "003965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.