Individual provider Active NPI

Olga Maria Padilla, MD

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1750300802
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14960 Issued in PR
Practice address
8165 Ave Jobos
Suite # 2
Isabela, PR 00662-2232
Phone
(787) 475-7816
Fax
(787) 830-6767
NPI assigned
Jul 19, 2006
Last updated
Sep 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14960 PR Primary

Addresses

Primary practice location

8165 Ave Jobos
Suite # 2
Isabela, PR 00662-2232

Mailing address

8165 Ave Jobos
Suite # 2
Isabela, PR 00662-2232
Phone (787) 475-7816

Other identifiers 1

IdentifierTypeStateIssuer
0021897ZOtherMEDICARE PTAN

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
I20031104000566 PR Practitioner - General Practice 1456263714 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital San Carlos Incorporado CurrentSince Jun 6, 2024 Accepting new patients
Servicios Hospitalistas San Carlos Borromeo CurrentSince Jun 6, 2024 Accepting new patients
Rincon Medical Center Past Accepting new patients
Serv Emerg del Noroeste Past Accepting new patients
Servicios de Anestesia Hospital San Carlos Borromeo PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1750300802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8165 AVE JOBOS",
            "address_2": "SUITE # 2",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622232",
            "telephone_number": "787-475-7816",
            "fax_number": "787-830-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8165 AVE JOBOS",
            "address_2": "SUITE # 2",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622232",
            "telephone_number": "787-475-7816",
            "fax_number": "787-830-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "OLGA",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0021897Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.