Individual provider Active NPI

Laura S. Surillo-Dahdah, MD

  • Neurology Physician
  • Manati, PR
National Provider Identifier
1508284936
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
19134 Issued in PR
Practice address
Manati Medical Center Professional Plaza Ofic. 611
Calle Hernandez Carrion
Manati, PR 00674
Phone
(787) 621-3755
NPI assigned
Apr 2, 2014
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 19134 PR Primary

Addresses

Primary practice location

Manati Medical Center Professional Plaza Ofic. 611
Calle Hernandez Carrion
Manati, PR 00674

Mailing address

PO Box 190151
San Juan, PR 00919-0151
Phone (787) 751-2509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607000233 PR Practitioner - Neurology 3375876220 Reassigns benefits to 2 organizations
Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Rehabilitation Services IncGroup PAC ID 0345406187, shared by 2 NPIs, 51 clinicians

Practice addresses (Care Compare)

Manati Medical Ctr Professional Pla
Calle Hernandez Carrion
Manati, PR 00974-5507
Phone (787) 321-3755

Uu43 Calle
Suite 30
Bayamon, PR 00956-4701
Phone (787) 787-8669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19134PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Movimiento LLC Neurology CurrentSince Jun 28, 2025 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Apr 6, 2019 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Apr 6, 2019 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Interoperability endpoints

  • Direct secure messaging: lauras.surillodahdah.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1508284936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190151",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190151",
            "telephone_number": "787-751-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANATI MEDICAL CENTER PROFESSIONAL PLAZA OFIC. 611",
            "address_2": "CALLE HERNANDEZ CARRION",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURILLO-DAHDAH",
        "first_name": "LAURA",
        "middle_name": "S.",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "19134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.