Provider Demographics
NPI:1962685800
Name:SABATER, ROBERTO DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:DANIEL
Last Name:SABATER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 677
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-0677
Mailing Address - Country:US
Mailing Address - Phone:787-300-1186
Mailing Address - Fax:
Practice Address - Street 1:AVE SEVERIANO CUEVAS BO CAIMATAL BAJO
Practice Address - Street 2:HOSPITAL BUEN SAMARITANO
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-774-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-14
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK28591207R00000X, 2085R0203X
PR19145207R00000X, 2085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRII842ZMedicare UPIN
PRII842YMedicare UPIN