Active NPI
Hassan Issa Mahmud, MD
- Family Medicine Physician
- Carolina, PR
National Provider Identifier
1679218069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23859
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concilio de Salud Integral de Loiza, Inc. | Family Medicine | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Loiza, PR
- NPI 1558664102
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.