Active NPI
Enrique Agustin Padro I, M.D.
- Diagnostic Radiology Physician
- Carolina, PR
National Provider Identifier
1891833240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 6621
- Practice address
- E17 Calle Malaga
Vistamar Marina
Carolina, PR 00983-1507 - Phone
- (787) 768-6661
- Fax
- (787) 757-6935
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 6621 | PR | Primary |
Addresses
Primary practice location
E17 Calle Malaga
Vistamar Marina
Carolina, PR 00983-1507
Mailing address
E17 Calle Malaga
Vistamar Marina
Carolina, PR 00983-1507
Phone (787) 768-6661
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7200 Ave 65 Infanteria
Carolina, PR 00985-5575
Phone (787) 757-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6621 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Diagnostic Radiology | Current | Accepting new patients |
| Servicios Medicos Universitarios Inc | Diagnostic Radiology | Current | Accepting new patients |
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Fajardo Imaging MRI CSP | Diagnostic Radiology | Past | Accepting new patients |
Locations
7200 Ave 65 Infanteria
Carolina, PR 00985
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Carolina, PR
- NPI 1023107182
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Carolina, PR
- NPI 1033272349
-
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
-
- Mammography Clinic/Center
- Rio Grande, PR
- NPI 1295896587
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891833240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E17 CALLE MALAGA",
"address_2": "VISTAMAR MARINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009831507",
"telephone_number": "787-768-6661",
"fax_number": "787-757-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E17 CALLE MALAGA",
"address_2": "VISTAMAR MARINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009831507",
"telephone_number": "787-768-6661",
"fax_number": "787-757-6935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRO",
"first_name": "ENRIQUE",
"middle_name": "AGUSTIN",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PR",
"license": "6621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.