Dr. Isa M Jacoba, MD
Pathology, Anatomic Pathology & Clinical Pathology in Providence, Rhode Island
1720668064- Practice location
- 593 Eddy St, Providence, RI 02903-4923
- Phone
- 401-444-5057
- Fax
- 401-444-8514
- Last updated
- June 17, 2026
Isa Mulingbayan Jacoba is a Pathology, Anatomic Pathology & Clinical Pathology based in Providence, RI. Isa Mulingbayan Jacoba practices in Providence, RI and has the professional credentials of MD. The NPI Number for Isa Mulingbayan Jacoba is 1720668064 and holds a License No. 1021467 (MA). The current practice location address for Isa Mulingbayan Jacoba is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-5057 and via fax at 401-444-8514.
Provider Profile Details
- NPI Number
- 1720668064
- Provider Name
- Isa Mulingbayan Jacoba
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 593 Eddy St, Providence, RI 02903-4923
- Phone Number
- 401-444-5057
- Fax Number
- 401-444-8514
- Primary Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 12, 2021
- Last Update Date
- June 17, 2026
- Certification Date
- June 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 593 Eddy St
Providence, RI 02903-4923 - City
- Providence
- State
- Rhode Island
- Zip
- 02903-4923
- Phone Number
- 401-444-5057
- Fax Number
- 401-444-8514
Provider Business Mailing Address Details
- Address
- 15 La Salle Sq
Providence, RI 02903-1814 - City
- Providence
- State
- RI
- Zip
- 02903-1814
- Phone Number
- 401-444-6779
- Fax Number
- 401-444-6912
License Information
- License Number (1)
- 1021467
- License State (1)
- MA
- Taxonomy (1)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- License Number (2)
- MD20614
- License State (2)
- RI
- Taxonomy (2)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Isa M Jacoba, MD?
The NPI number of Dr. Isa M Jacoba, MD is 1720668064. It was assigned on April 12, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Isa M Jacoba, MD?
Dr. Isa M Jacoba, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in MA under license number 1021467.
Where does Dr. Isa M Jacoba, MD practice?
The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-5057 (phone) or 401-444-8514 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720668064 directly on the NPPES registry website.