Provider Demographics
NPI:1457318149
Name:POMALES, SARI Y
Entity Type:Individual
Prefix:DR
First Name:SARI
Middle Name:Y
Last Name:POMALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB MONTEHIEDRA
Mailing Address - Street 2:218 ZORZAL STREET
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-765-3245
Mailing Address - Fax:787-765-0569
Practice Address - Street 1:400 AVE ROOSEVELT
Practice Address - Street 2:CLINICA LAS AMERICAS SUITE 404
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-765-3245
Practice Address - Fax:787-765-0569
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11758207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR88497Medicare ID - Type Unspecified
PRG38873Medicare UPIN