Active NPI
Samuel O Padua Perez, M.D.
- Diagnostic Radiology Physician
- Bayamon, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 19020
- Practice address
- 20-25 Carr 174
Bayamon, PR 00959-6617 - Phone
- (787) 934-4147
- NPI assigned
- Sep 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Ponce, PR
- NPI 1033183603
Diagnostic Radiology, PR
-
- Diagnostic Radiology Physician
- Bayamon, PR
- NPI 1700870326
Diagnostic Radiology, PR
-
- Diagnostic Radiology Physician
- Bayamon, PR
- NPI 1558356493
Diagnostic Radiology, PR
-
- Diagnostic Neuroimaging (Radiology) Physician
- Guaynabo, PR
- NPI 1437313749
Diagnostic Radiology, PR
-
- Diagnostic Radiology Physician
- Carolina, PR
- NPI 1225716715
Diagnostic Radiology, PR
-
- Multi-Specialty Clinic/Center
- Yauco, PR
- NPI 1740912971
-
- Diagnostic Radiology Physician
- Moca, PR
- NPI 1548713647
Diagnostic Radiology
-
- Cardiovascular Disease Physician
- Bayamon, PR
- NPI 1609083377
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Puerto Rico School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CT Radiology Complex LLCPonce Neuroradiological Services PSCCaribbean Imaging and Radiation Treatment Center IncDemadi PSCSaint Michael Med Serv IncCT Radiology Complex LLC
Practice addresses (Care Compare)
1815 Carr
Suite 2
Bayamon, PR 00959-7279
Phone (787) 780-9069
20 -A Edif 4 Local
Bayamon, PR 00957
Phone (787) 730-4542
2225 Ponce by Pass
Edificio Parra Suite 102 105
Ponce, PR 00717-1320
Phone (787) 842-2478
Arterial Hostos Esq 249 Ave Chardon
Primer Nivel Edif Hector N Acevedo
San Juan, PR 00918
Phone (787) 701-1180
B10 Calle Marginal
Manati, PR 00674-5435
Phone (787) 854-1357
Centro Comercial Bella Vista
Bayamon, PR 00957
Phone (787) 730-4542
CT Radiology Building 1815 Rd
Suite 2
Bayamon, PR 00959-7279
Phone (787) 780-2121
Edificio
8A Centro Comercial Bella Vista
Bayamon, PR 00957
Phone (787) 730-4542
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151006002670 | PR | Practitioner - Diagnostic Radiology | 2062720337 | Reassigns benefits to 8 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19020 | PR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GRP Med CT Radiology Complex | Current | Accepting new patients | |
| Caribbean Imaging and Radiation Treatment Center,Inc | Current | Accepting new patients | |
| CT Radiology Complex, LLC | Diagnostic Radiology | Current | Accepting new patients |
| CT Radiology Complex LLC | Diagnostic Radiology | Current | Accepting new patients |
| DJM Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Saint Michael Med Serv Inc | Diagnostic Radiology | Current | Accepting new patients |
| Centro Radiodiagnostico de Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| De Jesus & Matos Medical Imaging Professionals, PSC | Diagnostic Radiology | Current | Accepting new patients |
| Caribbean Imaging and Radiation Treatment Center,Inc | Diagnostic Radiology | Current | Accepting new patients |
| Demadi PSC | Diagnostic Radiology | Current | Accepting new patients |
| Ponce Neuroradiological Services, PSC | Diagnostic Radiology | Current | Accepting new patients |
Locations
2225 Ponce Byp
Ste 103
Ponce, PR 00717
Phone (787) 842-2478
14 Calle 25 de Julio
Yauco, PR 00698
Phone (787) 492-0260
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 19020 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
20-25 Carr 174
Bayamon, PR 00959-6617
Mailing address
20-25 Carr 174
Bayamon, PR 00959-6617
Phone (787) 934-4147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2017.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504224000000",
"number": "1962735688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20-25 CARR 174",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009596617",
"telephone_number": "787-934-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20-25 CARR 174",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009596617",
"telephone_number": "787-934-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADUA PEREZ",
"first_name": "SAMUEL",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-14",
"last_updated": "2017-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PR",
"license": "19020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.