Provider Demographics
NPI:1295702504
Name:SASTRE, ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:
Last Name:SASTRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ALBERTO
Other - Middle Name:
Other - Last Name:SASTRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10 CALLE DE DIEGO
Mailing Address - Street 2:
Mailing Address - City:CIALES
Mailing Address - State:PR
Mailing Address - Zip Code:00638-3221
Mailing Address - Country:US
Mailing Address - Phone:787-871-4636
Mailing Address - Fax:787-871-0730
Practice Address - Street 1:10 CALLE DE DIEGO
Practice Address - Street 2:
Practice Address - City:CIALES
Practice Address - State:PR
Practice Address - Zip Code:00638-3221
Practice Address - Country:US
Practice Address - Phone:787-871-4636
Practice Address - Fax:787-871-0730
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-06
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8491208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7000002636Medicare ID - Type Unspecified
PRE79246Medicare UPIN