MEDICARE: YADIEL SANCHEZ PADILLA MD

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	2085R0202X	Diagnostic Radiology Physician	ME159508	FL
2	2085R0202X	Diagnostic Radiology Physician	60985	KY
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1942730486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YADIEL SANCHEZ PADILLA MD

Provider Business Mailing Address
First Line	:	PO BOX 3069
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00970-3069
Country	:	US
Telephone Number	:	939-247-9077
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 SAXON BLVD
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8468
Country	:	US
Telephone Number	:	386-917-5526
Fax Number	:	386-917-5553

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

Provider Enumeration Date	:	06/18/2017
Last Update Date	:	12/31/2025

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