Provider Demographics
NPI:1225644222
Name:PADILLA COMMUNITY HEALTH SERVICES INC
Entity type:Organization
Organization Name:PADILLA COMMUNITY HEALTH SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-549-8621
Mailing Address - Street 1:12385 SW 129TH CT STE 10
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6407
Mailing Address - Country:US
Mailing Address - Phone:786-357-4185
Mailing Address - Fax:
Practice Address - Street 1:12385 SW 129TH CT STE 10
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6407
Practice Address - Country:US
Practice Address - Phone:786-357-4185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health