Individual provider Active NPI

Antonio C Padilla Cedo, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1023342409
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17765 Issued in PR
Practice address
1 Calle 11 Apt 1609
Panorama Plaza
San Juan, PR 00926-6051
Phone
(787) 942-8191
NPI assigned
Oct 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17765 PR Primary

Addresses

Primary practice location

1 Calle 11 Apt 1609
Panorama Plaza
San Juan, PR 00926-6051

Mailing address

1 Calle 11 Apt 1609
Panorama Plaza
San Juan, PR 00926-6051
Phone (787) 942-8191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100803000557 PR Practitioner - General Practice 2961535539 Practice locations: Aibonito, PR
I20160104002061 TX Practitioner - General Practice 2961535539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University Central del Caribe Escuela de Medicina, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wagner Indian Health Service Health CenterGroup PAC ID 6305758483, 15 clinicians

Practice addresses (Care Compare)

111 Washington Ave NW
Wagner, SD 57380-4300
Phone (605) 384-4820

Hospital & facility affiliations

  • Wagner Community Memorial Hospital - Cah Hospital, Wagner, SD, CCN 431315

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Indian Health Service Health Center CurrentSince Nov 14, 2015 Accepting new patients

Locations

111 Washington Ave NW
Wagner, SD 57380
Phone (605) 384-3621

Interoperability endpoints

  • Direct secure messaging: sjcapadill@yourcarecommunity.org

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1023342409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE 11 APT 1609",
            "address_2": "PANORAMA PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266051",
            "telephone_number": "787-942-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE 11 APT 1609",
            "address_2": "PANORAMA PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266051",
            "telephone_number": "787-942-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA CEDO",
        "first_name": "ANTONIO",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.