Individual provider Active NPI

Samuel Padilla Machuca, MD

  • Nephrology Physician
  • Bayamon, PR
National Provider Identifier
1962451724
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
15949 Issued in PR
Practice address
1845 Bayamon Medical Plaza
Ste 509
Bayamon, PR 00960
Phone
(787) 786-9200
Fax
(787) 786-9700
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 15949 PR Primary

Addresses

Primary practice location

1845 Bayamon Medical Plaza
Ste 509
Bayamon, PR 00960

Mailing address

Reparto Teresita
C/30 Ad-3
Bayamon, RI 00961-8343
Phone (787) 466-3403

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
I20060123000010 PR Practitioner - NephrologyPractitioner - Internal Medicine 4587688122 Practice locations: Bayamon, PR; Toa Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Carr
Bayamon, PR 00960
Phone (787) 620-8181

70 Calle Santa Cruz
Bayamon, PR 00961-7052
Phone (787) 620-4747

Bayamon Medical Plaza
Suite 509
Bayamon, PR 00960
Phone (787) 785-4686

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15949PRMDNephrology Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1962451724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REPARTO TERESITA",
            "address_2": "C/30 AD-3",
            "city": "BAYAMON",
            "state": "RI",
            "postal_code": "009618343",
            "telephone_number": "787-466-3403",
            "fax_number": "787-268-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 BAYAMON MEDICAL PLAZA",
            "address_2": "STE 509",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-786-9200",
            "fax_number": "787-786-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA MACHUCA",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "15949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.