Individual provider Active NPI

Jose L. Padilla Carreras, M.D.

  • Obstetrics & Gynecology Physician
  • Bayamon, PR
National Provider Identifier
1740229459
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10468 Issued in PR
Practice address
Edificio Medico Santa Cruz #73
Calle Santa Cruz Suite403
Bayamon, PR 00961
Phone
(787) 785-8530
Fax
(787) 785-8530
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10468 PR Primary

Addresses

Primary practice location

Edificio Medico Santa Cruz #73
Calle Santa Cruz Suite403
Bayamon, PR 00961

Mailing address

Urb Santa Cruz #10
Calle Las Rosas 1805
Bayamon, PR 00961
Phone (787) 785-8530

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
I20040623001373 PR Practitioner - Obstetrics/Gynecology 3779568670 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 Calle Santa Cruz
Bayamon, PR 00961-7041
Phone (787) 785-8530

Calle Las Rosas
1805 Urb Santa Cruz 10
Bayamon, PR 00961

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10468PRMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1740229459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SANTA CRUZ #10",
            "address_2": "CALLE LAS ROSAS 1805",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-785-8530",
            "fax_number": "787-785-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO MEDICO SANTA CRUZ #73",
            "address_2": "CALLE SANTA CRUZ SUITE403",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-785-8530",
            "fax_number": "787-785-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA CARRERAS",
        "first_name": "JOSE",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "10468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.