Individual provider Active NPI

Fernando Luis Padilla, O.D.

  • Optometrist
  • Cabo Rojo, PR
National Provider Identifier
1295737591
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
280 Issued in PR
Practice address
Urb Alturas del Mar
134 Caracol
Cabo Rojo, PR 00623-3186
Phone
(939) 645-2686
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 280 PR Primary

Addresses

Primary practice location

Urb Alturas del Mar
134 Caracol
Cabo Rojo, PR 00623-3186

Mailing address

134 Calle Caracol
Alturas del Mar
Cabo Rojo, PR 00623-3186
Phone (939) 645-2686

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160614000292 PR Practitioner - Optometry 3375834898 Practice locations: Hormigueros, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

134 Calle Caracol
Cabo Rojo, PR 00623-3186

Plaza Monserrate I Local I
Road 2 KM 164
Hormigueros, PR 00660
Phone (787) 849-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
280PRMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1295737591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 CALLE CARACOL",
            "address_2": "ALTURAS DEL MAR",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233186",
            "telephone_number": "939-645-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ALTURAS DEL MAR",
            "address_2": "134 CARACOL",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233186",
            "telephone_number": "939-645-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "FERNANDO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.