Individual provider Active NPI

Allan Saunders-Malave, MD

  • Vascular & Interventional Radiology Physician
  • Bayamon, PR
National Provider Identifier
1912129693
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
29795 Issued in SC
Practice address
Doctor Center'S Hospital de Bayamon
Dept de Radiologia Intervencional
Bayamon, PR 00969
Phone
(787) 622-5420
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 054936 GA
Vascular & Interventional Radiology Physician 2085R0204X 29795 SC Primary

Addresses

Primary practice location

Doctor Center'S Hospital de Bayamon
Dept de Radiologia Intervencional
Bayamon, PR 00969

Mailing address

E-9 Camino de Las Palmas
Urb Paseo del Prado
San Juan, PR 00926-0000
Phone (787) 233-8700

Other identifiers 2

IdentifierTypeStateIssuer
297958MedicaidSC
17,526OtherPRLICENCIA DE MEDICO

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
I20101105000100 PR Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5799851093 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Puerto Rico School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Center Hospital San JuanGroup PAC ID 3678639036, 11 clinicians
Ponce Neuroradiological Services PSCGroup PAC ID 4082777941, 4 clinicians
Doctors Center Hospital Bayamon IncGroup PAC ID 8123024056, 13 clinicians
Doctors Center Hospital IncGroup PAC ID 7810088796, 20 clinicians
Doctors Center Hospital Carolina LLCGroup PAC ID 3971810540, 11 clinicians
SHC Owner, LLCGroup PAC ID 0446644934, 11 clinicians

Practice addresses (Care Compare)

1395 Calle San Rafael
San Juan, PR 00909-2518
Phone (787) 999-7620

20 -A Edif 4 Local
Bayamon, PR 00957
Phone (787) 730-4542

Calle
9 Extension Hermanas Davilas
Bayamon, PR 00960
Phone (787) 622-5420

Carr 2 KM
Suite 7
Manati, PR 00674-8513
Phone (787) 854-3322

Centro Comercial Bella Vista
Bayamon, PR 00957
Phone (787) 730-4542

Edificio
8A Centro Comercial Bella Vista
Bayamon, PR 00957
Phone (787) 730-4542

Edificio Jesus T Pinero Ave Fernandez
Bo Pueblo
Carolina, PR 00979
Phone (787) 626-3322

PO Box
Suite 30532
Manati, PR 00674-8513

Road 696 Interseccion Ave Efron
Bo Higuillar
Dorado, PR 00646-5718
Phone (787) 625-5050

State Rd No 2 KM
Suite 7
Manati, PR 00674-8513

Hospital & facility affiliations

  • Doctors' Center Bayamon Hospital, Bayamon, PR, CCN 400102
  • Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118
  • Doctors' Center Hospital San Juan Hospital, Santurce, PR, CCN 400006
  • Doctors Center Hospital Carolina LLC Hospital, Carolina, PR, CCN 400132
  • Doctors Center Hospital Orlando Health Dorado Hospital, Dorado, PR, CCN 400137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054936GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center Hospital Inc CurrentSince Mar 19, 2011 Accepting new patients
Doctors Center Hospital Bayamon Inc CurrentSince Mar 19, 2011 Accepting new patients
Doctors Center Hospital San Juan CurrentSince Mar 19, 2011 Accepting new patients
Doctors Center Hospital Carolina LLC CurrentSince Aug 26, 2015 Accepting new patients
Ponce Neuroradiological Services, PSC Diagnostic Radiology CurrentSince Nov 17, 2019 Accepting new patients
Doctors Center Hospital San Juan CurrentSince Mar 19, 2011 Accepting new patients
Doctors Center Hospital Carolina LLC Vascular & Interventional Radiology CurrentSince Aug 26, 2015 Accepting new patients
SHC Owner LLC Diagnostic Radiology CurrentSince May 3, 2023 Accepting new patients
Pee Dee Radiology Group PA Past Accepting new patients

Locations

1395 Calle San Rafael
#20
Santurce, PR 00909
Phone 78785433221191

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1912129693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E-9 CAMINO DE LAS PALMAS",
            "address_2": "URB PASEO DEL PRADO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260000",
            "telephone_number": "787-233-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOCTOR CENTER'S HOSPITAL DE BAYAMON",
            "address_2": "DEPT DE RADIOLOGIA INTERVENCIONAL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-622-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS-MALAVE",
        "first_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "054936",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "29795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297958",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA DE MEDICO",
            "identifier": "17,526",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.