Physician Compare National (NPI:1295737591)

HEALTHCARE PROVIDER: FERNANDO LUIS PADILLA O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1295737591
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375834898
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160614000292
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PADILLA
	Individual professional last name
Provider First Name	FERNANDO
	Individual professional first name
Provider Middle Name	LUIS
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	INTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	PLAZA MONSERRATE I LOCAL I
	Group Practice or individual's line 1 address
Line 2 Street Address	ROAD 2 KM 164
	Group Practice or individual's line 2 address
City	HORMIGUEROS
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00660
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878490303
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y