Luis Angel Padilla Santiago
Individual provider Active NPI Internal Medicine Physician · San German, PR
NPI 1174900526 · NPPES record last updated Sep 3, 2025
Key facts
- NPI
- 1174900526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME128363 (FL)
- Practice address
- Carretera # 2 KM 173.4
Bo Cain Alto
San German, PR 00683 - Phone
- (787) 892-1860
- NPI assigned
- May 5, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10671 SW Waterway LN
Port Saint Lucie, FL 34987-1910
17855 Dallas Pkwy
Suite 200
Dallas, TX 75287-6818
Hospital & facility affiliations
- Accent Care Hospice & Palliative Care of Hillsboro
- Accentcare Hospice & Palliative Care of Pasco Coun
- Accentcare Hospice & Palliative Care of Georgia
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in FL, TN, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180502000685 | FL | Practitioner - Internal Medicine |
3971886557 | Reassigns benefits to 1 organization |
| I20251119001137 | TN | Practitioner - Internal Medicine | 3971886557 | Reassigns benefits to 1 organization |
| I20251119002290 | GA | Practitioner - Internal Medicine | 3971886557 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18,952 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seasons Medical Group of Florida PA | Internal Medicine | Current |
Accepting new patients |
| Accentcare Medical Group Tennessee, PC | Current |
Accepting new patients | |
| Accentcare Hospice & Palliative Care of Tennessee LLC | Current |
Accepting new patients | |
| Seasons Medical Group of Georgia PC | Current |
Accepting new patients | |
| Seasons Hospice & Palliative Care of Georgia, LLC | Current |
Accepting new patients | |
| Seasons Hospice & Palliative Care of Pasco County, LLC | Current |
Accepting new patients | |
| Seasons Hospice & Palliative Care of Broward Florida LLC | Past | Accepting new patients | |
| Seasons Hospice & Palliative Care of Tampa, LLC | Past | Accepting new patients |
Locations
1815 Griffin Rd
Ste 410
Dania Beach, FL 33004
Phone (954) 624-7900
5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387
5200 NE 2nd Ave
Fl 3
Miami, FL 33137
Phone (305) 762-3883
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
561 NW Lake Whitney Pl
Ste 105
Port St Lucie, FL 34986
Phone (909) 340-2229
1408 N West Shore Blvd
Ste 260
Tampa, FL 33607
Phone (813) 607-2630
2644 Cypress Ridge Blvd
Ste 104
Wesley Chapel, FL 33544
Phone (813) 364-0311
11675 Great Oaks Way
Ste 310
Alpharetta, GA 30022
Phone (404) 250-4950
855 Ridge Lake Blvd
Ste 120
Memphis, TN 38120
Phone (901) 203-8204
17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME128363 | FL | Yes |
| Internal Medicine Physician | 207R00000X | 18,952 | PR |
Addresses
Primary practice location
Carretera # 2 KM 173.4
Bo Cain Alto
San German, PR 00683
Mailing address
5200 NE 2ND Ave
3Rd FL, Stein BLDG
Miami, FL 33137-2706
Phone (305) 762-3883
Other practice location 1
5200 NE 2nd Ave
3rd Fl, Stein Bldg
Miami, FL 33137-2706
Phone (305) 762-3883
Other providers in San German, PR
- Rosana Otano Lopez
- Yolanda Otero-Igaravidez
- Victor Adriel Otero
- Oxilogics
- Jesus E Padilla Rosado
- Melvin Padilla-Martinez
- Pedro Carlos Pagan Torres
- Jorge G Pagan-Lugo
- Andrea Marie Pagan
- Hector L Pagan
All providers in San German, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.