Healthcare Provider Details

I. General information

NPI: 1922919778
Provider Name (Legal Business Name): PAULA ANDREA PADILLA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SW 62ND AVE STE 130
SOUTH MIAMI FL
33143-4717
US

IV. Provider business mailing address

9041 SW 142ND AVE APT 10-17
MIAMI FL
33186-1166
US

V. Phone/Fax

Practice location:
  • Phone: 305-306-0824
  • Fax:
Mailing address:
  • Phone: 305-972-5987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11050662
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: