Individual provider Active NPI

Gladys C Sastre, MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1962491258
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13011 Issued in PR
Practice address
369 Ave de Diego
Ste 401 Torre San Francisco
San Juan, PR 00923-3003
Phone
(787) 753-8778
Fax
(787) 731-7717
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13011 PR Primary

Addresses

Primary practice location

369 Ave de Diego
Ste 401 Torre San Francisco
San Juan, PR 00923-3003

Mailing address

PO Box 270231
San Juan, PR 00928-3031
Phone (787) 731-7717

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
I20050415000213 PR Practitioner - Internal Medicine 2668419102 Practice locations: Rio Piedras, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

369 Ave de Diego
Suite 401
Rio Piedras, PR 00923
Phone (787) 753-8778

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1962491258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270231",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009283031",
            "telephone_number": "787-731-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 AVE DE DIEGO",
            "address_2": "STE 401 TORRE SAN FRANCISCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233003",
            "telephone_number": "787-753-8778",
            "fax_number": "787-731-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASTRE",
        "first_name": "GLADYS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.