Antolin J Padilla, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

11800 Issued in PR

Practice address

67 Carazo St
Guaynabo, PR 00976

Phone

(787) 708-4469

Fax

(787) 789-4366

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Geriatric MedicineAlso: Family Practice

Education

University of Puerto Rico School of Medicine, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Cooperativa de Facultad Medica Sanacoop

  • Health Service Clinic/Center
  • Bayamon, PR
  • NPI 1942638655
  Medicare reassignment NPD
• Roced Inc

  • Primary Care Clinic/Center
  • Guaynabo, PR
  • NPI 1780890483
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235105495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE VIA DEL NILO RH3",
            "address_2": "RIO CRISTAL ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-708-4469",
            "fax_number": "787-789-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CARAZO ST",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-708-4469",
            "fax_number": "787-789-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "ANTOLIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "11800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87730",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Lorraine Pacheco, M.D
• Dayane Marie Padilla Andujar, PR
• Fernando L Padilla Jimenez, 0222B
• Jose Padilla Jimenez, 1135P
• Angel Luis Padilla, VT
• Juan Carlos Padilla, PHARM D.
• Teresa Veronica Padilla, PT
• Alberto Padro Sanchez, 0957P
• Paola Angeli Padro-Ocasio, MS
• Rafael E. Padro, PHD

• Geriatric Medicine (Family Medicine) Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Geriatric Medicine (Family Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.