MEDICARE: MARIA CARDONA PATINO

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	163W00000X	Registered Nurse	9546690	FL

General Provider Information

NPI Number	:	1487506747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA CARDONA PATINO

Provider Business Mailing Address
First Line	:	13710 OAK RIDGE DR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33325-6515
Country	:	US
Telephone Number	:	954-548-1127
Fax Number	:	954-548-1127

Provider Business Practice Location Address
First Line	:	1625 RIO BRAVO BLVD SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87105-6057
Country	:	US
Telephone Number	:	505-226-0153
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ MARIA CARDONA PATINO ” Practice Location

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