Provider Demographics
NPI:1992777817
Name:ALCAZAR SABATHIE, JOSE A (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:A
Last Name:ALCAZAR SABATHIE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2431, BLVD. LUIS A FERRE
Mailing Address - Street 2:EDIF A PORRATA PILA SUITE 309
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-2116
Mailing Address - Country:US
Mailing Address - Phone:787-840-9261
Mailing Address - Fax:787-840-9258
Practice Address - Street 1:2431 AVE LAS AMERICAS
Practice Address - Street 2:EDIF. A PORRATA PILA SUITE 309
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2116
Practice Address - Country:US
Practice Address - Phone:787-841-9261
Practice Address - Fax:787-840-9058
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-03
Last Update Date:2017-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR9573207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E71293Medicare UPIN