MEDICARE: SUHAIL MILAGROS PADILLA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1174185201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUHAIL MILAGROS PADILLA

Provider Business Mailing Address
First Line	:	7451 CALLE PERPETUO SOCORRO
Second Line	:	URB SANTA MARIA
City	:	PONCE
State	:	PR
Zip	:	00717
Country	:	US
Telephone Number	:	787-298-7036
Fax Number	:

Provider Business Practice Location Address
First Line	:	7451 CALLE PERPETUO SOCORRO
Second Line	:	URB SANTA MARIA
City	:	PONCE
State	:	PR
Zip	:	00717
Country	:	US
Telephone Number	:	787-298-7036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2019
Last Update Date	:	06/28/2019

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Directions to “ SUHAIL MILAGROS PADILLA ” Practice Location

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