Active NPIOrganization

Samba Bras Medical, P.s.c

Health Maintenance Organization in Fajardo, Puerto Rico

NPI Number1588988216
Practice location
Ave. General Valero 410, Torre Medica San Pablo Oficina 409, Fajardo, PR 00738
Fax
787-863-3638
Last updated
March 29, 2012

Samba Bras Medical, P.s.c is a healthcare organization based in Fajardo, PR. Samba Bras Medical, P.s.c practices in Fajardo, PR. The NPI Number for Samba Bras Medical, P.s.c is 1588988216 and holds a License No. 11782 (PR). The current practice location address for Samba Bras Medical, P.s.c is Ave. General Valero 410, Torre Medica San Pablo Oficina 409, Fajardo, PR 00738 and can be reached out via phone at 787-863-3636 and via fax at 787-863-3638.

Provider Profile Details

NPI Number
1588988216
Provider Name
Samba Bras Medical, P.s.c
Provider Entity Type
Organization
Address
Ave. General Valero 410, Torre Medica San Pablo Oficina 409, Fajardo, PR 00738
Phone Number
787-863-3636
Fax Number
787-863-3638
Primary Taxonomy
Health Maintenance Organization · 302R00000X
Organization Subpart
No
Authorized Official
Dr. Jamil Abou El Hossen Duarte, MD · Presidente · 787-863-3636
Provider Enumeration Date
March 24, 2010
Last Update Date
March 29, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
Ave. General Valero 410
Torre Medica San Pablo Oficina 409
Fajardo, PR 00738
Zip
00738
Phone Number
787-863-3636
Fax Number
787-863-3638
Fajardo, PR 00738Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 823
Fajardo, PR 00738-0823
City
Fajardo
State
PR
Zip
00738-0823
Phone Number
787-863-3636
Fax Number
787-863-3638

License Information

License Number
11782
License State
PR
Taxonomy
Health Maintenance Organization · 302R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samba Bras Medical, P.s.c?

The NPI number of Samba Bras Medical, P.s.c is 1588988216. It was assigned on March 24, 2010 and is currently active in the NPPES registry.

What is the specialty of Samba Bras Medical, P.s.c?

Samba Bras Medical, P.s.c is registered under the primary taxonomy Health Maintenance Organization (code 302R00000X), licensed in PR under license number 11782.

Where does Samba Bras Medical, P.s.c practice?

The practice location is Ave. General Valero 410, Torre Medica San Pablo Oficina 409, Fajardo, PR 00738. The office can be reached at 787-863-3636 (phone) or 787-863-3638 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588988216 directly on the NPPES registry website.

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