Individual provider Active NPI

Yesenia Ortiz Padilla, M.D.

  • General Practice Physician
  • Naranjito, PR
National Provider Identifier
1114904943
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15207 Issued in PR
Practice address
80 Calle Georgetti
Naranjito, PR 00719-3001
Phone
(939) 238-2706
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 77113 PR
General Practice Physician 208D00000X 15207 PR Primary

Addresses

Primary practice location

80 Calle Georgetti
Naranjito, PR 00719-3001

Mailing address

787 Calle Tallaboa
Palacios del Rio II
Toa Alta, PR 00953-5124
Phone (787) 463-5201

Other identifiers 3

IdentifierTypeStateIssuer
15207OtherPRSTATE LICENSE
HC082AMedicaidPR
77113OtherPRPROFESIONAL REGISTER

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
I20041116000059 PR Practitioner - General Practice 7012971468 Practice locations: Naranjito, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15207PRMDGeneral Practice Physician
77113PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toa Alta Cura Health Services Inc. General Practice Past Accepting new patients
Toa Alta Cura Health Services Inc. Past Accepting new patients

Organizations & group practices 2

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1114904943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 CALLE TALLABOA",
            "address_2": "PALACIOS DEL RIO II",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009535124",
            "telephone_number": "787-463-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CALLE GEORGETTI",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193001",
            "telephone_number": "939-238-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ PADILLA",
        "first_name": "YESENIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "77113",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "15207",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC082A",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESIONAL REGISTER",
            "identifier": "77113",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.