MEDICARE: MARIA DEL CARMEN LEON PADILLA APRN-FNP

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	363LF0000X	Family Nurse Practitioner	11007990	FL

General Provider Information

NPI Number	:	1780281501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DEL CARMEN LEON PADILLA APRN-FNP

Provider Business Mailing Address
First Line	:	7270 NW 174TH TER APT 203
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-7276
Country	:	US
Telephone Number	:	305-303-1843
Fax Number	:

Provider Business Practice Location Address
First Line	:	7270 NW 174TH TER APT 203
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-7276
Country	:	US
Telephone Number	:	305-303-1843
Fax Number	:

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

Provider Enumeration Date	:	10/05/2020
Last Update Date	:	06/16/2026

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