Look up the most recent NPI and PECOS records

Raphael John Quinones Sabado

Internal Medicine

Allopathic & Osteopathic Physicians

1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638

PECOS Enrollment

This provider is enrolled in PECOS as RAPHAEL JOHN SABADO.

Based on the most recent information from CMS, provider Raphael John Quinones Sabado is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1992448682
Provider Type
Individual
Full Name
Sabado, Raphael John Quinones
Credential
DO

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/19/2022
Last Updated
8/21/2025

Contact Information

Practice Location

1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638

(210) 916-6255

(210) 292-7934

Mailing Location

1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638

(210) 292-3400

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0102208230 Virginia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer
Code 171000000X	Description Military Health Care Provider Other Service Providers	License Unlisted Issuer
Code 208D00000X	Description General Practice Allopathic & Osteopathic Physicians	License 0102208230 Virginia

Raphael John Quinones Sabado

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Sauceda, Rito

Delmar, Judith

Danchi, Henry

Oberg, Martin R

Sky, Karen Melanie

Cochran, Audra

Corrigan, Paula

Degoes, John Jeffrey

Owens, Makelle Louise

Rodriguez, Rechell