Active NPI
Isis Padilla
- Clinical Psychologist
- Aguadilla, PR
National Provider Identifier
1871058966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5971
- Practice address
- PR 110 KM 24.2
Local 3
Aguadilla, PR 00603 - Phone
- (787) 461-6551
- NPI assigned
- Feb 4, 2019
- Last updated
- Feb 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5971 | PR | Primary |
Addresses
Primary practice location
PR 110 KM 24.2
Local 3
Aguadilla, PR 00603
Mailing address
500 Calle Andalucia Apt 22
Aguadilla, PR 00603-5864
Phone (787) 461-6551
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 |
|---|---|---|---|
| 5971 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1871058966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CALLE ANDALUCIA APT 22",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006035864",
"telephone_number": "787-461-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PR 110 KM 24.2",
"address_2": "LOCAL 3",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-461-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "ISIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-04",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.