Individual provider Active NPI

Anwar Abdul-Hadi, M.D.

  • Pediatric Surgery Physician
  • Manati, PR
National Provider Identifier
1710291992
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
18837 Issued in PR
Practice address
2DO Piso Clinica Especialidades Pediatricas
Manati Medical Center, Calle Hernandez Carrion
Manati, PR 00674
Phone
(787) 621-3270
NPI assigned
Jul 30, 2010
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 18837 PR
Surgery Physician 208600000X 036143985 IL
Pediatric Surgery Physician 2086S0120X 33263 OK
Pediatric Surgery Physician 2086S0120X 18837 PR Primary
General Practice Physician 208D00000X 18837 PR

Addresses

Primary practice location

2DO Piso Clinica Especialidades Pediatricas
Manati Medical Center, Calle Hernandez Carrion
Manati, PR 00674

Mailing address

PO Box 260086
San Juan, PR 00926-2617
Phone (787) 621-3270

Other practice location 1

Bayamon Medical Plaza Suite 302, Sub-Especialides Ped.
1845 Car. # 2
Bayamon, PR 00959
Phone (787) 474-8282 ext. 4811

Other names 1

  • Dr. Anwar Abdul-Hadi Martinez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PR, NC, MO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170823003629 IL Practitioner - Pediatric MedicinePractitioner - General Surgery 1456623586 Reassigns benefits to 1 organization
I20171207002518 PR Practitioner - General SurgeryPractitioner - Other (Physician) 1456623586 Reassigns benefits to 2 organizations
Practice locations: Rio Piedras, PR
I20220802003073 NC Practitioner - General SurgeryPractitioner - Pediatric Medicine 1456623586
I20241224001073 MO Practitioner - Pediatric Medicine 1456623586 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18837PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Feb 12, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 30, 2024 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Nov 1, 2021 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Nov 1, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 30, 2024 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 2, 2017 Accepting new patients
Recinto de Ciencias Medicas Pediatric Surgery CurrentSince Oct 2, 2017 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 30, 2024 Accepting new patients
Departamento de Salud Oficial Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1965 S Fremont Ave
Ste 300
Springfield, MO 65804
Phone (417) 820-2936

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Centro Medico De Puerto Ri
San Juan, PR 00935

Centro Medico De Puerto Rico Bo Monacillos
San Juan, PR 00935
Phone (787) 751-6034

Interoperability endpoints

  • Direct secure messaging: aabdulhadi72174@direct.nemours.org

Organizations & group practices 9

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": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1710291992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260086",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262617",
            "telephone_number": "787-621-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2DO PISO CLINICA ESPECIALIDADES PEDIATRICAS",
            "address_2": "MANATI MEDICAL CENTER, CALLE HERNANDEZ CARRION",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bayamon Medical Plaza Suite 302, Sub-Especialides Ped.",
            "address_2": "1845 Car. # 2",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00959",
            "country_code": "US",
            "telephone_number": "787-474-8282 x4811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDUL-HADI",
        "first_name": "ANWAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2021-08-02",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "18837",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036143985",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "OK",
            "license": "33263",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PR",
            "license": "18837",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANWAR",
            "last_name": "ABDUL-HADI MARTINEZ",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.