Joann Alyssa Padilla, MD

Individual provider Active NPI General Practice Physician · Vega Baja, PR

NPI 1821246752 · NPPES record last updated Sep 4, 2008

Key facts

NPI
1821246752
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
17326 (PR)
Practice address
Urb. El Rosario II
Calle 5 R-16
Vega Baja, PR 00693
Phone
(939) 969-8743
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vega Baja Community Health Past Accepting new patients
Vega Alta Community Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17326 PR Yes

Addresses

Primary practice location

Urb. El Rosario II
Calle 5 R-16
Vega Baja, PR 00693

Mailing address

Urb. El Rosario II
Calle 5 R-16
Vega Baja, PR 00693
Phone (939) 969-8743

Other identifiers

IdentifierTypeStateIssuer
17326OtherPRSTATE LICENSE

Other providers in Vega Baja, PR

All providers in Vega Baja, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.