Miriam M Padilla Diaz, MD

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

22683 Issued in PR

Practice address

917 Ave. Tito Castro
Torre Medica San Lucas Ste 701
Ponce, PR 00716-4717

Phone

(787) 290-5577

NPI assigned

Jun 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Sleep MedicineAlso: Internal Medicine

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Somnos CorpGroup PAC ID 9830271923, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Somnos Corp

  • Sleep Disorder Diagnostic Clinic/Center
  • Ponce, PR
  • NPI 1295923720
  Medicare reassignment Care Compare group NPD
• Western Sleep Clinic, CSP

  • Sleep Medicine (Internal Medicine) Physician
  • Mayaguez, PR
  • NPI 1609196518
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1164916730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 AVE. TITO CASTRO",
            "address_2": "TORRE MEDICA SAN LUCAS STE 701",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164717",
            "telephone_number": "787-290-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Jose de Diego",
            "address_2": "Aguadilla Pueblo",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00603",
            "country_code": "US",
            "telephone_number": "787-658-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 AVE. HOSTOS",
            "address_2": "MEDICAL EMPORIUM SUITE 114",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006821503",
            "country_code": "US",
            "telephone_number": "787-986-7273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA DIAZ",
        "first_name": "MIRIAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "14750-I",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "35258",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "35258",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PR",
            "license": "22683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Pacheco Ramos, RN
• Elvin Juan Pacheco, MD
• Margie Berenice Pacheco, CPL
• Mayra Pacheco, CRNA
• Wanda Ivelisse Pacheco, M.D.
• Angeles Lourrain Padilla Zapata
• Alondra Padilla
• Isamar Padilla
• Marianela Padilla, MPT, PT
• Nicole Padilla

• Sleep Medicine (Internal Medicine) Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Sleep Medicine (Internal Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.