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Individual

DR. SAMUEL PADILLA ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
J23 CALLE ELLIOT VELEZ, URB ATENAS, MANATI, PR 00674-4616
(787) 854-3851
Mailing address
PO BOX 1096, MANATI, PR 00674-1096
(787) 854-3851

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
7930
PR
207R00000X
Internal Medicine Physician
Primary
7930
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10209
ACAA
PR
01
1380
AMERICAN HEALTH MEDICARE
PR
01
1653
PREFERRED MEDICARE CHOISE
PR
01
212407
PREFERRED HEALTH
PR
01
437930
U.I.A.
PR
01
660609707
MAPFRE
PR
01
69646
CRUZ AZUL
PR
01
7530053
HUMANA
PR
01
81764
TRIPLE SSS
PR
01
825444
MMM
PR
01
E27914
UPIN
PR
01
PE2000
PALIC
PR
Enumeration date
09/24/2006
Last updated
10/24/2014
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