Organization Active NPI

Neurology & Epilepsy, PSC

  • Clinical Neurophysiology Physician
  • Caguas, PR
National Provider Identifier
1245789148
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
17907 Issued in PR
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Dr. Katherine M Padilla Rodriguez, MDNPI 1962601633
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20181206001725 PR Part B Supplier - Clinic/Group Practice 9436493103 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.