Individual provider Active NPI

Hiram Pabon Padilla, M.D.

  • Specialist
  • Juncos, PR
National Provider Identifier
1104920305
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16514 Issued in PR
Practice address
33 Calle Munoz Rivera
Urb. Madrid
Juncos, PR 00777-3116
Phone
(787) 713-6801
Fax
(787) 734-4129
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16514 PR Primary

Addresses

Primary practice location

33 Calle Munoz Rivera
Urb. Madrid
Juncos, PR 00777-3116

Mailing address

33 Calle Munoz Rivera
Urb. Madrid
Juncos, PR 00777-3116
Phone (787) 713-6801

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061010000160 PR Practitioner - General Practice 2466458732 Practice locations: Trujillo Alto, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

H16 Calle Aa
Trujillo Alto, PR 00976-3119
Phone (787) 755-5515

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ciudad Universitaria Medical, C.S.P. General Practice Past Accepting new patients
Cardio and Vascular Unlimited Services C.S.P Past Accepting new patients
Cardiologia Medica Integrada, Inc. PastSince Feb 22, 2012 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1104920305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CALLE MUNOZ RIVERA",
            "address_2": "URB. MADRID",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773116",
            "telephone_number": "787-713-6801",
            "fax_number": "787-734-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALLE MUNOZ RIVERA",
            "address_2": "URB. MADRID",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773116",
            "telephone_number": "787-713-6801",
            "fax_number": "787-734-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABON PADILLA",
        "first_name": "HIRAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "16514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

Verify at the official NPI Registry.