Esam A Hussein, M.D

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

15014 Issued in PR

Practice address

Ext Hermanas Davila
56 Ave Betances
Bayamon, PR 00959-5213

Phone

(787) 798-1100

Fax

(787) 780-6841

NPI assigned

Jan 23, 2012

Sex

Male

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1932470903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E 11 CALLE 1 RIVERSIDE PARK",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009618594",
            "telephone_number": "787-635-8980",
            "fax_number": "787-780-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXT HERMANAS DAVILA",
            "address_2": "56 AVE BETANCES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595213",
            "telephone_number": "787-798-1100",
            "fax_number": "787-780-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "ESAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PR",
            "license": "15014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Adolescent Medicine Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Pediatric Adolescent Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.