Individual provider Active NPI

Pedro Luis Parrilla Padilla, MD

  • Obstetrics & Gynecology Physician
  • Bayamon, PR
National Provider Identifier
1770560898
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5325 Issued in PR
Practice address
Calle Santa Cruz #70
Ste 311 Edificio Medico Santa Cruz
Bayamon, PR 00959
Phone
(787) 798-3835
Fax
(787) 798-4230
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 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 5325 PR Primary

Addresses

Primary practice location

Calle Santa Cruz #70
Ste 311 Edificio Medico Santa Cruz
Bayamon, PR 00959

Mailing address

RR 8 Box 2196
Bayamon, PR 00956-9620
Phone (787) 798-3835

Other identifiers 10

IdentifierTypeStateIssuer
P058OtherFIRST MEDICAL
3705325OtherPLAN UIA
3313 5OtherPROSSAM
5023OtherESPECIALIDAD
6210092OtherHUMANA INSURANCE PRIVADO
064611OtherCRUZ AZUL
209267OtherPREFERED HEALTH CARE
2197OtherPREFERED MEDICARE CHOICE
070188OtherHUMANA PLAN DELCOBIERNO
25610OtherTRIPLE SSS

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
I20140314000500 PR Practitioner - Obstetrics/Gynecology 4284865270 Reassigns benefits to 2 organizations
Practice locations: Bayamon, PR; Corozal, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc CurrentSince Nov 30, 2022 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Nov 30, 2022 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Nov 30, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1770560898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 8 BOX 2196",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569620",
            "telephone_number": "787-798-3835",
            "fax_number": "787-798-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA CRUZ #70",
            "address_2": "STE 311 EDIFICIO MEDICO SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-798-3835",
            "fax_number": "787-798-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRILLA PADILLA",
        "first_name": "PEDRO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "5325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "P058",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAN UIA",
            "identifier": "3705325",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSSAM",
            "identifier": "3313 5",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESPECIALIDAD",
            "identifier": "5023",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE PRIVADO",
            "identifier": "6210092",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "064611",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERED HEALTH CARE",
            "identifier": "209267",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERED MEDICARE CHOICE",
            "identifier": "2197",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PLAN DELCOBIERNO",
            "identifier": "070188",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "25610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.