Individual provider Active NPI

Lillian Padilla Costoso, M.D.

  • Nephrology Physician
  • Manati, PR
National Provider Identifier
1396890133
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
12163 Issued in PR
Practice address
Hernandez Carrion Alejandro Otero Lopez
Manati, PR 00674
Phone
(787) 854-4120
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 12163 PR Primary

Addresses

Primary practice location

Hernandez Carrion Alejandro Otero Lopez
Manati, PR 00674

Mailing address

PO Box 1662
Manati, PR 00674-1662
Phone (787) 854-4120

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071228000060 PR Practitioner - NephrologyPractitioner - Internal Medicine 7810077153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Puerto Rico School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LP Renal Services, CSPGroup PAC ID 6305999475, 2 clinicians

Practice addresses (Care Compare)

MMC Professinal Plaza
200 St Hernandez Carrion Ofc Suite 508
Manati, PR 00674-4695
Phone (787) 854-4170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
LP Renal Services, CSP CurrentSince Apr 4, 2009 Accepting new patients
Nefrologia CSP Past Accepting new patients
Cruz Soto & Padilla, Nefrologos, CSP Nephrology Past Accepting new patients

Organizations & group practices 3

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 1

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1396890133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1662",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741662",
            "telephone_number": "787-854-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HERNANDEZ CARRION ALEJANDRO OTERO LOPEZ",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA COSTOSO",
        "first_name": "LILLIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "12163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.