Individual provider Active NPI

Sofia Padilla, MD

  • Anesthesiology Physician
  • Mayaguez, PR
National Provider Identifier
1932179157
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4779 Issued in PR
Practice address
Hospital Bella Vista
Carr 349 KM 2.7 Cerro Las Mesas
Mayaguez, PR 00680
Phone
(787) 834-6000
Fax
(787) 832-1585
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4779 PR Primary

Addresses

Primary practice location

Hospital Bella Vista
Carr 349 KM 2.7 Cerro Las Mesas
Mayaguez, PR 00680

Mailing address

PO Box 6450
Mayaguez, PR 00681-6450
Phone (787) 805-1818

Other identifiers 9

IdentifierTypeStateIssuer
067029OtherLA CRUZ AZUL DE PR
95913OtherSSS
6605753523OtherMEDICAL CARD SYSTEMS HMO
2458BOtherPREFERRED MEDICARE CHOICE
0095913MedicaidPR
6605753523OtherMCS CLASSIC CARE
601075OtherMEDICARE MUCHO MAS
95913OtherMEDICARE OPTIMA
6605753523OtherPRMEDICAL CARD SYSTEMS INC

Other names 1

  • Sofia Aeschliman Padilla-Bafalluy Former name

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
I20031113000556 PR Practitioner - Anesthesiology 0345154456 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4779PRMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Anesthesia Services, PSC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Servicios Profesionales Ambulatorios Anesthesiology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1932179157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6450",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006816450",
            "telephone_number": "787-805-1818",
            "fax_number": "787-832-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL BELLA VISTA",
            "address_2": "CARR 349 KM 2.7 CERRO LAS MESAS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-6000",
            "fax_number": "787-832-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "SOFIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "4779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE PR",
            "identifier": "067029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "95913",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CARD SYSTEMS HMO",
            "identifier": "6605753523",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "2458B",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095913",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS CLASSIC CARE",
            "identifier": "6605753523",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MUCHO MAS",
            "identifier": "601075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OPTIMA",
            "identifier": "95913",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CARD SYSTEMS INC",
            "identifier": "6605753523",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOFIA",
            "last_name": "PADILLA-BAFALLUY",
            "middle_name": "AESCHLIMAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.