Individual provider Active NPI

Fernando Manuel Padilla-Nazario, D.M.D.

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1306841663
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00878 Issued in PR
Practice address
19 Calle Acuario
San Juan, PR 00926-4902
Phone
(787) 755-3690
Fax
(787) 755-3132
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 00878 PR Primary

Addresses

Primary practice location

19 Calle Acuario
San Juan, PR 00926-4902

Mailing address

19 Calle Acuario
Ste 5
San Juan, PR 00926-4902
Phone (787) 755-3690

Other names 1

  • Dr. Fernando M. Padilla Other name

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
I20160218000177 PR Order and Referring Only - DentistPractitioner - Dentist 8325343056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00878PRMDGeneral Practice Dentistry
878PRMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306841663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CALLE ACUARIO",
            "address_2": "STE 5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264902",
            "telephone_number": "787-755-3690",
            "fax_number": "787-755-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CALLE ACUARIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264902",
            "telephone_number": "787-755-3690",
            "fax_number": "787-755-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA-NAZARIO",
        "first_name": "FERNANDO",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "00878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FERNANDO",
            "last_name": "PADILLA",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.