# SAMBA BRAS MEDICAL, P.S.C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588988216
- **Authorized official:** DR. JAMIL ABOU EL HOSSEN DUARTE M.D (PRESIDENTE)
- **Authorized official phone:** (787) 863-3636

## Contact information

- **Practice address:** AVE. GENERAL VALERO 410, TORRE MEDICA SAN PABLO OFICINA 409, FAJARDO, PR 00738
- **Practice address phone:** (787) 863-3636
- **Practice address fax:** (787) 863-3638
- **Mailing address:** P.O. BOX 823, FAJARDO, PR 00738-0823
- **Mailing address phone:** (787) 863-3636
- **Mailing address fax:** (787) 863-3638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 11782 | PR | Yes |

## Other

- **Enumeration date:** 03/24/2010
- **Last updated:** 03/29/2012