Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 5534 | PR |
NPI | 1013914258 |
---|---|
Provider Name | Dr. Pedro Sanabria |
First Address | Gurabo, PR 00778-1323 |
Second Address | Gurabo, PR 00778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 29/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04351 | AMERICAN HEALTH - PROV # (01) | PR |
065428 | LA CRUZ AZUL - PROVIDER # (01) | PR |
1304 | FIRST PLUS - PROVIDER # (01) | PR |
1304 | INTER MED CARD - PROV # (01) | PR |
15534 | CIGNA - PROVIDER # (01) | PR |
25835 | TRIPLE S - PROVIDER NUM (01) | PR |
31-60543 | UNION INDEP AUTE - PROV # (01) | PR |
3511A | PREFER MED CHOI- PROV # (01) | PR |
500117SE | MEDICARE MUCHO MAS (01) | PR |
6580008 | HUMANA - PROVIDER NUMBER (01) | PR |
775171 | HUMANA GOLD PLUS - PROV # (01) | PR |
E43271 | (02) | PR |
PR0444 | PALIC - PROVIDER # (01) | PR |