Luis Edgardo Padilla Zapata, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

PR 110 Issued in PR

Practice address

J C Penney Optical Department
Plaza Carolina Mall
Carolina, PR 00988

Phone

(787) 752-9200

Fax

(787) 257-2665

NPI assigned

Jun 1, 2006

Last updated

May 11, 2021By 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

Other identifiers 2

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

Practice roles

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.

• Cidra Optical

  • Optician
  • Cidra, PR
  • NPI 1235365727
  NPD (past)
• Dr. Luis Padilla Zapata, Optometra, C.S. P.

  • Point of Service
  • Guaynabo, PR
  • NPI 1174849244
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1720025471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230397",
            "telephone_number": "787-851-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J C PENNEY OPTICAL DEPARTMENT",
            "address_2": "PLAZA CAROLINA MALL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00988",
            "telephone_number": "787-752-9200",
            "fax_number": "787-257-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA ZAPATA",
        "first_name": "LUIS",
        "middle_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PR",
            "license": "PR 110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "28904PA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PUERTO RICO",
            "identifier": "9880011",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisol Pabon, M.D.
• Yazmin Pabon, PTA
• Ana Maria Pacheco, PT
• David E Pacheco
• Margarita M Pacheco, M.D.
• Juan David Padilla, PSYCHOLOGY
• Enrique Agustin Padro I, M.D.
• Laura Cristina Pagan Pagan, MD
• Anabelis Pagan
• Israel Pagan, M.A.

• Low Vision Rehabilitation Optometrist in Carolina, PR
• Providers in Carolina, PR by specialty
• Low Vision Rehabilitation Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.