Gabriel Padilla-Villanueva, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2797 Issued in PR

Practice address

191 Ave Betances
Urb. Hermanas Davila
Bayamon, PR 00959-5159

Phone

(787) 798-4083

Fax

(787) 785-0643

NPI assigned

Sep 17, 2007

Last updated

Aug 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1427244102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND CAPITOLIO PLAZA 100",
            "address_2": "CALLE DEL MUELLE APT 1505",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "787-347-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 AVE BETANCES",
            "address_2": "URB. HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595159",
            "telephone_number": "787-798-4083",
            "fax_number": "787-785-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA-VILLANUEVA",
        "first_name": "GABRIEL",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suheily Padilla Quiros, PHARMD
• Angelica Ivette Padilla Rivera
• Jose Alexis Padilla Santiago
• Valerie Padilla Toro, MD
• Maria A Padilla-Bruno, M.D
• Eliud Padilla Jr., D.M.D.
• Eliud Padilla, D.M.D.
• Judith Marie Padilla
• Bryan Padua Guerra
• Samuel O Padua Perez, M.D.

• General Practice Dentistry in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.