Individual provider Active NPI

Katherine Marie Padilla-Rodriguez, M.D.

  • Clinical Neurophysiology Physician
  • Caguas, PR
National Provider Identifier
1962601633
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
17907 Issued in PR
Practice address
30 Calle Padial Ste 120
Caguas, PR 00725-3842
Phone
(787) 653-5060
Fax
(787) 653-9880
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 17,907 PR
Clinical Neurophysiology Physician 2084N0600X 17907 PR Primary

Addresses

Primary practice location

30 Calle Padial Ste 120
Caguas, PR 00725-3842

Mailing address

Da-3 Calle Hastings
Garden Hills Norte
Guaynabo, PR 00966-2128
Phone (787) 653-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100925000261 PR Practitioner - Neurology 8123144276 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, shared by 49 NPIs, 246 clinicians

Practice addresses (Care Compare)

30 Calle Padial
Suite 120
Caguas, PR 00725-3842
Phone (787) 653-5060

Bo Monacillos
Centro Medico de Puerto Rico
San Juan, PR 00921
Phone (787) 754-0101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17,907PRMDNeurology Physician
17907PRMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Current Accepting new patients
Recinto de Ciencias Medicas Neurology CurrentSince May 13, 2021 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Mar 17, 2012 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Mar 17, 2012 Accepting new patients
Neurology & Epilepsy, PSC Clinical Neurophysiology CurrentSince Jun 7, 2018 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

30 Calle Padial
Ste 120
Caguas, PR 00725
Phone (787) 478-6319

Interoperability endpoints

  • Direct secure messaging: katherinepadilla@2518.securemail.prognocis.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1962601633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DA-3 CALLE HASTINGS",
            "address_2": "GARDEN HILLS NORTE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662128",
            "telephone_number": "787-653-5060",
            "fax_number": "787-653-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE PADIAL STE 120",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253842",
            "telephone_number": "787-653-5060",
            "fax_number": "787-653-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA-RODRIGUEZ",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "17,907",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PR",
            "license": "17907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.