MEDICARE: DR. JOSE A ALCAZAR SABATHIE 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	207Q00000X	Family Medicine Physician	9573	PR

General Provider Information

NPI Number	:	1992777817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE A ALCAZAR SABATHIE M.D.

Provider Business Mailing Address
First Line	:	2431, BLVD. LUIS A FERRE
Second Line	:	EDIF A PORRATA PILA SUITE 309
City	:	PONCE
State	:	PR
Zip	:	00717-2116
Country	:	US
Telephone Number	:	787-840-9261
Fax Number	:	787-840-9258

Provider Business Practice Location Address
First Line	:	2431 AVE LAS AMERICAS
Second Line	:	EDIF. A PORRATA PILA SUITE 309
City	:	PONCE
State	:	PR
Zip	:	00717-2116
Country	:	US
Telephone Number	:	787-841-9261
Fax Number	:	787-840-9058

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

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	01/09/2017

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Directions to “ DR. JOSE A ALCAZAR SABATHIE M.D.” Practice Location

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