MEDICARE: ENRIQUE A SABATER M.D.

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	2085R0202X	Diagnostic Radiology Physician	37227	MN
2	2085R0204X	Vascular & Interventional Radiology Physician	16733	PR
3	2085R0202X	Diagnostic Radiology Physician	16733	PR
4	2085R0204X	Vascular & Interventional Radiology Physician	37227	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	26478	OTHER	PR	PTAN

General Provider Information

NPI Number	:	1619936085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENRIQUE A SABATER M.D.

Provider Business Mailing Address
First Line	:	1842 CALLE REINA DE LAS FLORES
Second Line	:	URB SANTA MARIA
City	:	SAN JUAN
State	:	PR
Zip	:	00927-6820
Country	:	US
Telephone Number	:	787-232-2787
Fax Number	:

Provider Business Practice Location Address
First Line	:	1842 CALLE REINA DE LAS FLORES
Second Line	:	URB SANTA MARIA
City	:	SAN JUAN
State	:	PR
Zip	:	00927-6820
Country	:	US
Telephone Number	:	787-232-2787
Fax Number	:

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

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	03/17/2024

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Directions to “ ENRIQUE A SABATER M.D.” Practice Location

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