SAMBA BRAS MEDICAL, P.S.C
NPI 1588988216
Health Maintenance Organization in Fajardo, PR
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
Specialties & Licenses
Other Identifiers 1
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.
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)
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.