Provider Demographics
NPI:1013914258
Name:SANABRIA, PEDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:
Last Name:SANABRIA
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 1323
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-1323
Mailing Address - Country:US
Mailing Address - Phone:787-737-6082
Mailing Address - Fax:787-737-6798
Practice Address - Street 1:1 D12 EL VIVERO
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-737-6082
Practice Address - Fax:787-737-6082
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-01
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5534208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6580008OtherHUMANA - PROVIDER NUMBER
PR065428OtherLA CRUZ AZUL - PROVIDER #
PR1304OtherFIRST PLUS - PROVIDER #
PR04351OtherAMERICAN HEALTH - PROV #
PR31-60543OtherUNION INDEP AUTE - PROV #
PRPR0444OtherPALIC - PROVIDER #
PR15534OtherCIGNA - PROVIDER #
PR1304OtherINTER MED CARD - PROV #
PR25835OtherTRIPLE S - PROVIDER NUM
PR775171OtherHUMANA GOLD PLUS - PROV #
PR3511AOtherPREFER MED CHOI- PROV #
PR500117SEOtherMEDICARE MUCHO MAS
PRPR0444OtherPALIC - PROVIDER #
PR31-60543OtherUNION INDEP AUTE - PROV #
PR500117SEOtherMEDICARE MUCHO MAS