Healthcare Provider Details

I. General information

NPI: 1922947688
Provider Name (Legal Business Name): MARCOS PADILLA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PLAZA ATENAS MALL, KM 50.0 PR-2
MANATI PR
00674
US

IV. Provider business mailing address

1025 CALLE TOPACIO
BARCELONETA PR
00617-2950
US

V. Phone/Fax

Practice location:
  • Phone: 787-220-9893
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR066653
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: