Organization Active NPI

Neurocentro del Norte, Inc.

  • Neurology Physician
  • Arecibo, PR
National Provider Identifier
1104133396
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROCENTRO DEL NORTE, INC.
Practice address
Calle Maria Cadilla
Numero 20
Arecibo, PR 00612
Phone
(787) 816-5786
Fax
(787) 817-5298
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Annette E. Martinez Padilla, MDNPI 1881695971
Title
Neurologist
Phone
(787) 816-5786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

Calle Maria Cadilla
Numero 20
Arecibo, PR 00612

Mailing address

P.O. Box 2092
Hatillo, PR 00659
Phone (787) 816-5786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110505000386 PR Part B Supplier - Clinic/Group Practice 7517142698 Receives reassigned benefits from 1 practitioner
Practice locations: Arecibo, PR; Manati, PR

National Provider Directory

National Provider Directory

Locations

20 Calle Dra M Cadilla
Arecibo, PR 00612
Phone (787) 816-5786

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1104133396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2092",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-816-5786",
            "fax_number": "787-817-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARIA CADILLA",
            "address_2": "NUMERO 20",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-816-5786",
            "fax_number": "787-817-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCENTRO DEL NORTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ PADILLA",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "787-816-5786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.