MEDICARE: DR. GIOVANNI ALOMAR SASTRE PHD

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	103TC0700X	Clinical Psychologist	7311	PR

General Provider Information

NPI Number	:	1124758818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIOVANNI ALOMAR SASTRE PHD

Provider Business Mailing Address
First Line	:	1013 LOS FLABOYANES
Second Line	:
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-2240
Country	:	US
Telephone Number	:	787-365-1260
Fax Number	:

Provider Business Practice Location Address
First Line	:	3020 AVE SAN CRISTOBAL
Second Line	:
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-2896
Country	:	US
Telephone Number	:	939-835-7173
Fax Number	:

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

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	04/05/2024

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