SAMBA BRAS MEDICAL, P.S.C
NPI 1588988216
Health Maintenance Organization in Fajardo, PR

Active since March 24, 2010
AVE. GENERAL VALERO 410, TORRE MEDICA SAN PABLO OFICINA 409, FAJARDO, PR 00738(787) 863-3636(787) 863-3638 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samba Bras Medical, P.s.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMBA BRAS MEDICAL, P.S.C (NPI 1588988216) is a healthcare organization registered as a health maintenance organization in Fajardo, Puerto Rico and active in the NPI registry since March 2010. The organization lists Jamil Abou El Hossen Duarte, Presidente, as its authorized official.

NPPES Registry Identity

NPI1588988216
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSAMBA BRAS MEDICAL, P.S.C
Location AddressAVE. GENERAL VALERO 410, TORRE MEDICA SAN PABLO OFICINA 409Fajardo, PR 00738
Mailing AddressP.o. Box 823Fajardo, PR 00738-0823 · (787) 863-3636 · Fax (787) 863-3638
Fax(787) 863-3638
Organization SubpartNo
Authorized OfficialJamil Abou El Hossen DuartePresidente · (787) 863-3636
Enumeration DateMarch 24, 2010
Last NPPES UpdateMarch 29, 2012
✔ NPI 1588988216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License✔ Licensed in PR · 11782
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
AVE. GENERAL VALERO 410, Fajardo, PR 00738

Other Identifiers 1

Medicare UPING41813PR

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samba Bras Medical, P.s.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePuerto RicoEnrollment IDO20120403000027Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Samba Bras Medical, P.S.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1356347538
410 AVE GENERAL VALERO STE 409
Fajardo, PR 00738
(787) 863-3636
✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samba Bras Medical, P.S.C's NPI number?

The NPI number for Samba Bras Medical, P.S.C is 1588988216. It was assigned to this organization in the NPPES registry on March 24, 2010.

Where is Samba Bras Medical, P.S.C located?

Samba Bras Medical, P.S.C is located at Ave. General Valero 410 Torre Medica San Pablo Oficina 409, Fajardo, PR 00738. The listed phone number is (787) 863-3636.

What is Samba Bras Medical, P.S.C's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Is Samba Bras Medical, P.S.C enrolled in Medicare?

Yes. Samba Bras Medical, P.S.C is registered in the Medicare PECOS enrollment system.

When is Samba Bras Medical, P.S.C's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Puerto Rico, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Samba Bras Medical, P.S.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Samba Bras Medical, P.S.C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samba Bras Medical, P.S.C was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.