Individual provider Active NPI

Jose A Alcazar Sabathie, M.D.

  • Family Medicine Physician
  • Ponce, PR
National Provider Identifier
1992777817
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9573 Issued in PR
Practice address
2431 Ave Las Americas
Edif. a Porrata Pila Suite 309
Ponce, PR 00717-2116
Phone
(787) 841-9261
Fax
(787) 840-9058
NPI assigned
Feb 3, 2006
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9573 PR Primary

Addresses

Primary practice location

2431 Ave Las Americas
Edif. a Porrata Pila Suite 309
Ponce, PR 00717-2116

Mailing address

2431, Blvd. Luis a Ferre
Edif a Porrata Pila Suite 309
Ponce, PR 00717-2116
Phone (787) 840-9261

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
I20060919000460 PR Practitioner - Family Practice 3971508243 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2431 Blvd Luis a Ferre
Ponce, PR 00717-2113
Phone (787) 840-9261

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ponce Medical School Foundation Inc Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1992777817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431, BLVD. LUIS A FERRE",
            "address_2": "EDIF A PORRATA PILA SUITE 309",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172116",
            "telephone_number": "787-840-9261",
            "fax_number": "787-840-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 AVE LAS AMERICAS",
            "address_2": "EDIF. A PORRATA PILA SUITE 309",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172116",
            "telephone_number": "787-841-9261",
            "fax_number": "787-840-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCAZAR SABATHIE",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "9573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.