Ian Carlos Padial Doble, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

021914 Issued in PR

Practice address

University District Hospital
Puerto Rico Medical Center, Bo. Monacillos
San Juan, PR 00935-0001

Phone

(787) 754-0101

NPI assigned

Jun 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

GastroenterologyAlso: Internal Medicine

Education

University Central del Caribe Escuela de Medicina, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Menonita Caguas IncGroup PAC ID 8921254780, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Centro Comprensivo del Cancer Hospital, San Juan, PR, CCN 400135
• Hospital Menonita Caguas Inc Hospital, Caguas, PR, CCN 400104

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Menonita Caguas Inc

  • Specialist
  • Caguas, PR
  • NPI 1295327625

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Mennonite General Hospital Inc

  • General Acute Care Hospital
  • Aibonito, PR
  • NPI 1851320394
  Medicare reassignment NPD
• Hospital Menonita Caguas Inc

  • Rehabilitation Hospital Unit
  • Caguas, PR
  • NPI 1871164871
  NPD
• Mennonite General Hospital Inc

  • Specialist
  • Aibonito, PR
  • NPI 1043347768
  NPD
• Mennonite General Hospital Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponce, PR
  • NPI 1144099813
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centro de Cancer de la Universidad

  • Special Hospital
  • San Juan, PR
  • NPI 1003366527
  Care Compare affiliation
• Hospital Menonita Caguas Inc

  • General Acute Care Hospital
  • Caguas, PR
  • NPI 1003185455
  Care Compare affiliation

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1467891580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA 15 MG 27",
            "address_2": "MARINA BAHIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-397-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY DISTRICT HOSPITAL",
            "address_2": "PUERTO RICO MEDICAL CENTER, BO. MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-754-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADIAL DOBLE",
        "first_name": "IAN",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "021914",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "021914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyan Santiago Pacheco Jr.
• Hiram G Pacheco, RPH
• Maribel Mota Pacheco, BSN
• Samuel Pacheco
• Zaiska Pacheco, MSW
• Antonio C Padilla Cedo, M.D.
• Yaniz Cristina Padilla Dalmau
• Natalie Janice Padilla Ramirez, PSYD
• Kimberly Padilla Rodriguez
• Jorge Gabriel Padilla Zayas, MD

• Gastroenterology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.

Verify at the official NPI Registry.