Samuel Padilla Rosa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

7930 Issued in PR

Practice address

J23 Calle Elliot Velez
Urb Atenas
Manati, PR 00674-4616

Phone

(787) 854-3851

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 13

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

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Dorado Health Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• Internal Medicine Integrated Services PSC

  • Internal Medicine Physician
  • Manati, PR
  • NPI 1679734552
  Medicare reassignment NPD Authorized official
• Manati Physician Group Lucas,Inc

  • Health Maintenance Organization
  • Manati, PR
  • NPI 1689283475
  NPD Authorized official
• Emmanuel Medical Group L.L.C

  • Health Maintenance Organization
  • Manati, PR
  • NPI 1174266456
  NPD
• Dorado Health Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170
  NPD (past)
• Maes Development, Inc

  • Cardiovascular Disease Physician
  • Manati, PR
  • NPI 1679668776

  Internal Medicine

  NPD (past)
• Salutaris Dialysis and Nephrology Center Corporation

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Caguas, PR
  • NPI 1124269709
  NPD (past)

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

• Dorado Health Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170
  Care Compare affiliation

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1043310550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1096",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741096",
            "telephone_number": "787-854-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J23 CALLE ELLIOT VELEZ",
            "address_2": "URB ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744616",
            "telephone_number": "787-854-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA ROSA",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "7930",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "10209",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOISE",
            "identifier": "1653",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "81764",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7530053",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PE2000",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "825444",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "81764",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "212407",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.I.A.",
            "identifier": "437930",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE",
            "identifier": "660609707",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "69646",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "1380",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E27914",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francisco Pacheco Cuadrado
• Carmen Judith Pacheco
• Monica Marie Pacheco, MD
• Lillian Padilla Costoso, M.D.
• Carmen Gloria Padilla Ortiz, M.D.
• Laura P Padilla-Carrasquillo, MD
• Marcos Padilla, DC
• Maylene Karilys Padilla
• Josefina Padro-Ramirez, MD
• Pagan Cardio Vascular, PSC

• Internal Medicine Physician in Manati, PR
• Providers in Manati, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.