Active NPI
Neurology & Epilepsy, PSC
- Clinical Neurophysiology Physician
- Caguas, PR
National Provider Identifier
1245789148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 17907
- Legal business name
- NEUROLOGY & EPILEPSY, PSC
- Practice address
- 30 Calle Padial
Suite 120
Caguas, PR 00725-3807 - Phone
- (787) 653-5060
- Fax
- (787) 653-9880
- NPI assigned
- Oct 3, 2016
- Last updated
- Oct 3, 2016
- 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
- Dr. Katherine M Padilla Rodriguez, MD
- Title
- President
- Phone
- (787) 653-5060
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | 17907 | PR | Primary |
Addresses
Primary practice location
30 Calle Padial
Suite 120
Caguas, PR 00725-3807
Mailing address
Da3 Calle Hastings
Garden Hills Norte
Guaynabo, PR 00966-2128
Phone (787) 653-5060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Neurophysiology Physician
- Caguas, PR
- NPI 1962601633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475452800000",
"number": "1245789148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DA3 CALLE HASTINGS",
"address_2": "GARDEN HILLS NORTE",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009662128",
"telephone_number": "787-653-5060",
"fax_number": "787-653-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CALLE PADIAL",
"address_2": "SUITE 120",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007253807",
"telephone_number": "787-653-5060",
"fax_number": "787-653-9880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY & EPILEPSY, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-03",
"last_updated": "2016-10-03",
"status": "A",
"authorized_official_last_name": "PADILLA RODRIGUEZ",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-653-5060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "PR",
"license": "17907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.