Organization Active NPI

Isabela Podiatry PSC

  • Foot & Ankle Surgery Podiatrist
  • Isabela, PR
National Provider Identifier
1144991852
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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

Updated by the provider on May 22, 2023

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20240111002814 PR Part B Supplier - Clinic/Group Practice 5193176329 Receives reassigned benefits from 1 practitioner
Practice locations: Isabela, PR; San Juan, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.