Individual provider Active NPI

Samuel O Padua Perez, M.D.

  • Diagnostic Radiology Physician
  • Bayamon, PR
National Provider Identifier
1962735688
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19020 Issued in PR
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.

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 LLC 13 clinicians
Ponce Neuroradiological Services PSC 4 clinicians
Caribbean Imaging and Radiation Treatment Center Inc 12 clinicians
Demadi PSC 7 clinicians
Saint Michael Med Serv Inc 2 clinicians
CT Radiology Complex LLC 12 clinicians

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
19020PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GRP Med CT Radiology Complex CurrentSince Jan 15, 2021 Accepting new patients
Caribbean Imaging and Radiation Treatment Center,Inc CurrentSince Aug 1, 2023 Accepting new patients
CT Radiology Complex, LLC Diagnostic Radiology CurrentSince Jan 15, 2021 Accepting new patients
CT Radiology Complex LLC Diagnostic Radiology CurrentSince Jul 5, 2025 Accepting new patients
DJM Imaging Center LLC Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Saint Michael Med Serv Inc Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Centro Radiodiagnostico de Carolina LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
De Jesus & Matos Medical Imaging Professionals, PSC Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Caribbean Imaging and Radiation Treatment Center,Inc Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Demadi PSC Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Ponce Neuroradiological Services, PSC Diagnostic Radiology CurrentSince May 1, 2022 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)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 19020 PR Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.