Active NPI
Carmen Gloria Padilla Ortiz, M.D.
- Specialist
- Manati, PR
National Provider Identifier
1235167446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7706
- Practice address
- 5 Calle Patriota Pozo
Manati, PR 00674-5055 - Phone
- (787) 854-6716
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7706 | PR | Primary |
Addresses
Primary practice location
5 Calle Patriota Pozo
Manati, PR 00674-5055
Mailing address
Urb. Alturas de Luchetti K-29
Manati, PR 00674
Phone (787) 854-6716
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101123000348 | PR | Practitioner - Internal Medicine | 3971799446 | Practice locations: Manati, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University Central del Caribe Escuela de Medicina, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5 Calle Patriota Pozo
Manati, PR 00674-5055
Phone (787) 854-6716
Hospital & facility affiliations
- Doctors' Center Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7706 | PR | MD | Specialist |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manati, PR
- NPI 1861494163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1235167446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. ALTURAS DE LUCHETTI K-29",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-854-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CALLE PATRIOTA POZO",
"city": "MANATI",
"state": "PR",
"postal_code": "006745055",
"telephone_number": "787-854-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA ORTIZ",
"first_name": "CARMEN",
"middle_name": "GLORIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "7706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.