MEDICARE: DR. JOSE ALEXIS PADILLA SANTIAGO

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	111N00000X	Chiropractor	1059	PR

General Provider Information

NPI Number	:	1386531036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE ALEXIS PADILLA SANTIAGO

Provider Business Mailing Address
First Line	:	HC 645 BOX 6571
Second Line	:
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976-9742
Country	:	US
Telephone Number	:	787-459-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR 2 ESQUINA 167
Second Line	:	BAY SHOPPING CITY 6107
City	:	BAYAMON
State	:	PR
Zip	:	00959
Country	:	US
Telephone Number	:	787-221-3971
Fax Number	:

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

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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