Individual provider Active NPI

Hassan Issa Mahmud, MD

  • Family Medicine Physician
  • Carolina, PR
National Provider Identifier
1679218069
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23859 Issued in PR
Practice address
KM 8.3 , Calle 3 Avenida 65 de Infanteria
Carolina, PR 00984
Phone
(787) 757-1800
NPI assigned
May 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23859 PR Primary

Addresses

Primary practice location

KM 8.3 , Calle 3 Avenida 65 de Infanteria
Carolina, PR 00984

Mailing address

60 Calle Marcos Lopez
Vega Baja, PR 00693-5022
Phone (787) 677-0032

Other practice location 1

Urb. Lago Alto Calle Carite #130
Trujillo Alto, PR 00976
Phone (787) 737-2311

Other practice location 2

Carr 188
Loiza, PR 00772-1850
Phone (787) 876-7420 ext. 248

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
I20250805003007 PR Practitioner - General PracticePractitioner - Family Practice 8123533023 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concilio de Salud Integral de Loiza, Inc. Family Medicine CurrentSince Jul 29, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1679218069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CALLE MARCOS LOPEZ",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935022",
            "telephone_number": "787-677-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KM 8.3 , CALLE 3 AVENIDA 65 DE INFANTERIA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00984",
            "telephone_number": "787-757-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb. Lago Alto Calle Carite #130",
            "address_purpose": "LOCATION",
            "city": "Trujillo Alto",
            "state": "PR",
            "postal_code": "00976",
            "country_code": "US",
            "telephone_number": "787-737-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Carr 188",
            "address_purpose": "LOCATION",
            "city": "Loiza",
            "state": "PR",
            "postal_code": "007721850",
            "country_code": "US",
            "telephone_number": "787-876-7420 x248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISSA MAHMUD",
        "first_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-01",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "23859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.