Active NPI
Emmanuel Padua Borrero, MSSP
- Psychologist
- Isabela, PR
National Provider Identifier
1750245437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8820
- Practice address
- 4972 Ave Militar
Isabela, PR 00662-4163 - Phone
- (787) 365-0465
- NPI assigned
- Dec 16, 2025
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 8820 | PR | Primary |
Addresses
Primary practice location
4972 Ave Militar
Isabela, PR 00662-4163
Mailing address
4972 Ave Militar
Isabela, PR 00662-4163
Phone (787) 365-0465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8820 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1750245437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4972 AVE MILITAR",
"city": "ISABELA",
"state": "PR",
"postal_code": "006624163",
"telephone_number": "787-365-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4972 AVE MILITAR",
"city": "ISABELA",
"state": "PR",
"postal_code": "006624163",
"telephone_number": "787-365-0465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADUA BORRERO",
"first_name": "EMMANUEL",
"name_prefix": "Mr.",
"credential": "MSSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-16",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "8820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.