Provider Demographics
NPI:1245789148
Name:NEUROLOGY & EPILEPSY, PSC
Entity type:Organization
Organization Name:NEUROLOGY & EPILEPSY, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PADILLA RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-653-5060
Mailing Address - Street 1:DA3 CALLE HASTINGS
Mailing Address - Street 2:GARDEN HILLS NORTE
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2128
Mailing Address - Country:US
Mailing Address - Phone:787-653-5060
Mailing Address - Fax:787-653-9880
Practice Address - Street 1:30 CALLE PADIAL
Practice Address - Street 2:SUITE 120
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3807
Practice Address - Country:US
Practice Address - Phone:787-653-5060
Practice Address - Fax:787-653-9880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR179072084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Single Specialty