MEDICARE: MRS. MARIA DEL C PADILLA RODRIGUEZ M.D.

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	207R00000X	Internal Medicine Physician	8152	PR

General Provider Information

NPI Number	:	1740388164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA DEL C PADILLA RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	206 TORRE SAN CRISTOBAL
Second Line	:
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-2847
Country	:	US
Telephone Number	:	787-848-5194
Fax Number	:	787-848-5194

Provider Business Practice Location Address
First Line	:	206 TORRE SAN CRISTOBAL
Second Line	:
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-2847
Country	:	US
Telephone Number	:	787-848-5194
Fax Number	:	787-848-5194

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	11/05/2012

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