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NPI Code Detail

MEDICARE: VICTOR MANUEL PADILLA M.D.

MEDICARE: VICTOR MANUEL PADILLA 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
1207RG0100XGastroenterology PhysicianME0055352FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
109436OTHERFLBC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518955020
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR MANUEL PADILLA M.D.
Provider Business Mailing Address
First Line : 2140 W 68TH ST
Second Line : SUITE 305
City : HIALEAH
State : FL
Zip : 33016-1815
Country : US
Telephone Number : 305-822-4108
Fax Number : 786-497-2989
Provider Business Practice Location Address
First Line : 2140 W 68TH ST
Second Line : SUITE 305
City : HIALEAH
State : FL
Zip : 33016-1815
Country : US
Telephone Number : 305-822-4108
Fax Number : 305-822-5086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 06/26/2012

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Directions to “ VICTOR MANUEL PADILLA M.D.” Practice Location

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