Individual provider Active NPI

Luis Angel Padilla Santiago

  • Internal Medicine Physician
  • San German, PR
National Provider Identifier
1174900526
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME128363 Issued in FL
Practice address
Carretera # 2 KM 173.4
Bo Cain Alto
San German, PR 00683
Phone
(787) 892-1860
NPI assigned
May 5, 2015
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME128363 FL Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180502000685 FL Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 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

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18,952PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Georgia PC CurrentSince Oct 6, 2025 Accepting new patients
Accentcare Hospice & Palliative Care of Tennessee LLC CurrentSince Oct 7, 2025 Accepting new patients
Seasons Hospice & Palliative Care of Pasco County, LLC CurrentSince Aug 3, 2025 Accepting new patients
Accentcare Medical Group Tennessee, PC CurrentSince Oct 7, 2025 Accepting new patients
Seasons Medical Group of Florida PA Internal Medicine CurrentSince Aug 3, 2025 Accepting new patients
Seasons Hospice & Palliative Care of Georgia, LLC CurrentSince Oct 6, 2025 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

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1174900526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 NE 2ND AVE",
            "address_2": "3RD FL, STEIN BLDG",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372706",
            "telephone_number": "305-762-3883",
            "fax_number": "305-762-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA # 2 KM 173.4",
            "address_2": "BO CAIN ALTO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-1860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 NE 2nd Ave",
            "address_2": "3rd Fl, Stein Bldg",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331372706",
            "country_code": "US",
            "telephone_number": "305-762-3883",
            "fax_number": "305-762-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA SANTIAGO",
        "first_name": "LUIS",
        "middle_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME128363",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18,952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.