MEDICARE: ERNESTO PADRON MAGARINO

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	106S00000X	Behavior Technician	P623003875000	FL

General Provider Information

NPI Number	:	1124990494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERNESTO PADRON MAGARINO

Provider Business Mailing Address
First Line	:	1801 S TREASURE DR APT 105
Second Line	:
City	:	NORTH BAY VILLAGE
State	:	FL
Zip	:	33141-4319
Country	:	US
Telephone Number	:	786-851-3168
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 S TREASURE DR APT 105
Second Line	:
City	:	NORTH BAY VILLAGE
State	:	FL
Zip	:	33141-4319
Country	:	US
Telephone Number	:	786-851-3168
Fax Number	:

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

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	09/18/2025

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Directions to “ ERNESTO PADRON MAGARINO ” Practice Location

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