MEDICARE: DR. PEDRO SANABRIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	5534	PR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
12	500117SE	OTHER	PR	MEDICARE MUCHO MAS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6580008	OTHER	PR	HUMANA - PROVIDER NUMBER
2	065428	OTHER	PR	LA CRUZ AZUL - PROVIDER #
3	1304	OTHER	PR	FIRST PLUS - PROVIDER #
4	04351	OTHER	PR	AMERICAN HEALTH - PROV #
5	31-60543	OTHER	PR	UNION INDEP AUTE - PROV #
6	PR0444	OTHER	PR	PALIC - PROVIDER #
7	15534	OTHER	PR	CIGNA - PROVIDER #
8	1304	OTHER	PR	INTER MED CARD - PROV #
9	25835	OTHER	PR	TRIPLE S - PROVIDER NUM
10	775171	OTHER	PR	HUMANA GOLD PLUS - PROV #
11	3511A	OTHER	PR	PREFER MED CHOI- PROV #

General Provider Information

NPI Number	:	1013914258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEDRO SANABRIA MD

Provider Business Mailing Address
First Line	:	PO BOX 1323
Second Line	:
City	:	GURABO
State	:	PR
Zip	:	00778-1323
Country	:	US
Telephone Number	:	787-737-6082
Fax Number	:	787-737-6798

Provider Business Practice Location Address
First Line	:	1 D12 EL VIVERO
Second Line	:
City	:	GURABO
State	:	PR
Zip	:	00778
Country	:	US
Telephone Number	:	787-737-6082
Fax Number	:	787-737-6082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	12/29/2016

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Directions to “ DR. PEDRO SANABRIA MD” Practice Location

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