Active NPI
Isabela Podiatry PSC
- Foot & Ankle Surgery Podiatrist
- Isabela, PR
National Provider Identifier
1144991852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- ISABELA PODIATRY PSC
- Practice address
- 4426 Ave Militar
Isabela, PR 00662-4158 - Phone
- (787) 872-0899
- Fax
- (939) 699-6062
- NPI assigned
- Sep 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jocelyn B Padin, MHSA
- Title
- Administrator
- Phone
- (787) 413-5806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
4426 Ave Militar
Isabela, PR 00662-4158
Mailing address
4426 Ave Militar
Isabela, PR 00662-4158
Phone (787) 872-0899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4426 Ave Militar
Isabela, PR 00662
Phone (787) 872-0899
29 Calle Washington
Ste 702
San Juan, PR 00907
Phone (787) 721-4404
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- San Juan, PR
- NPI 1376760579
-
- General Practice Physician
- San Juan, PR
- NPI 1124075429
-
- Allergy & Immunology (Internal Medicine) Physician
- Bayamon, PR
- NPI 1184873986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1144991852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4426 AVE MILITAR",
"city": "ISABELA",
"state": "PR",
"postal_code": "006624158",
"telephone_number": "787-872-0899",
"fax_number": "939-699-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4426 AVE MILITAR",
"city": "ISABELA",
"state": "PR",
"postal_code": "006624158",
"telephone_number": "787-872-0899",
"fax_number": "939-699-6062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISABELA PODIATRY PSC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "PADIN",
"authorized_official_first_name": "JOCELYN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-413-5806",
"authorized_official_credential": "MHSA"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.