| Eduardo Miguel Padilla Berdugo, APRN, PMHNP-BC | |
|
8323 Nw 12th St Ste 108, Doral, FL 33126-1839 | |
| (305) 400-8511 | |
| (305) 392-0184 |
| Full Name | Eduardo Miguel Padilla Berdugo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 8323 Nw 12th St Ste 108, Doral, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972110765 | NPI | - | NPPES |
| 108937000 | Medicaid | FL | |
| APRN11008957 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11008957 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11008957 (Florida) | Primary |
| Entity Name | Banyan Community Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104247188 PECOS PAC ID: 0547410011 Enrollment ID: O20121017000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Eduardo Miguel Padilla Berdugo, APRN, PMHNP-BC 8323 Nw 12th St Ste 108, Doral, FL 33126-1839 Ph: (305) 400-8511 | Eduardo Miguel Padilla Berdugo, APRN, PMHNP-BC 8323 Nw 12th St Ste 108, Doral, FL 33126-1839 Ph: (305) 400-8511 |
Carlos Hernandez Vazquez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9250 Nw 36th St Ste 420, Doral, FL 33178 Phone: 305-266-2929 |
Axis Morales Fernandez, IMG, MSN, FNP - BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9250 Nw 25th St, Doral, FL 33172 Phone: 786-597-4951 |
Guillermo R Gonzalez, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8600 Nw 41st St, Doral, FL 33166 Phone: 305-642-5366 |
Mariano Palazzolo Vermiglio, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8406 Nw 116th Ave, Doral, FL 33178 Phone: 786-975-8035 |
Joel Luis Polanco, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Nw 87th Ave Ste 101, Doral, FL 33172 Phone: 844-665-4827 |
Karen Marlin Nunez- Pineda, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8301 Nw 12th St, Doral, FL 33126 Phone: 205-514-7466 |
Liudmila Artiles, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8600 Nw 41st St, Doral, FL 33166 Phone: 305-642-5366 |