Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Isa Mulingbayan Jacoba, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1720668064

Dr. Isa Mulingbayan Jacoba, MD is a Pathology in Providence, Rhode Island. Qualified in 2018, 8 years ago. Works from 5 locations. Licensed in Massachusetts and Rhode Island.

Years since qualifying
8
Licensed in
MA, RI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5057
Fax: (401) 444-8514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 795 Middle St, Fall River, MA 02721-1733 — (508) 996-3991
  • 11 Friendship St, Newport, RI 02840-2209 — (401) 444-5057
  • 164 Summit Ave, Providence, RI 02906-2853 — (401) 444-5057
  • 825 Chalkstone Ave, Providence, RI 02908-4728 — (401) 456-2109

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD20614 (RI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 1021467 (MA)

Record details

NPI number1720668064
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address15 La Salle Sq, Providence, RI 02903-1814

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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