Joannie Ivelisse Padilla

Primary specialty

Social WorkerTaxonomy code 104100000X

License

13390 Issued in PR

Practice address

177 Bo. Algarrobo Edificio Western Lake Village
A 305
Mayaguez, PR 00680

Phone

(787) 420-6774

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1922765684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 BO. ALGARROBO EDIFICIO WESTERN LAKE VILLAGE",
            "address_2": "A 305",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-420-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 BO. ALGARROBO EDIFICIO WESTERN LAKE VILLAGE",
            "address_2": "A 305",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-420-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "JOANNIE",
        "middle_name": "IVELISSE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "13390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego E Pablos, M.D.
• Nefmarie Pacheco-Segarra, PHARMD
• Angel A Pacheco-Vega, MD
• Bredwin Joel Padilla Maldonado
• Damaris Padilla
• Sofia Padilla, MD
• Antonio Mariano Padua-Ramos, MD
• Pagan & Pintado Inc
• Kimberly Ann Pagan Marchese, MD
• Pagan Monsegur MD Services PSC

• Social Worker in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.