Organization Active NPI

Guaynabo Geriatric Clinic

  • Geriatric Medicine (Family Medicine) Physician
  • Guaynabo, PR
National Provider Identifier
1922940170
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
GUAYNABO GERIATRIC CLINIC
Practice address
67 Calle Carazo
Guaynabo, PR 00969-5700
Phone
(863) 738-3064
NPI assigned
Apr 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Dr. Antolin J Padilla, MD
Title
Medico
Phone
(863) 738-3064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

67 Calle Carazo
Guaynabo, PR 00969-5700

Mailing address

67 Calle Carazo
Guaynabo, PR 00969-5700
Phone (863) 738-3064

National Provider Directory

National Provider Directory

Locations

67 Calle Carazo
Guaynabo, PR 00969
Phone (787) 287-5015

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1922940170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695700",
            "telephone_number": "863-738-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695700",
            "telephone_number": "863-738-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAYNABO GERIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "ANTOLIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICO",
        "authorized_official_telephone_number": "863-738-3064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.