Individual provider Active NPI

Fidel Padilla, ARNP-FNP

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1124601232
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025694 Issued in FL
Practice address
6208 Pembroke Rd
Miramar, FL 33023-2216
Phone
(305) 278-0200
NPI assigned
May 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL
Family Nurse Practitioner 363LF0000X APRN11025694 FL Primary
Registered Nurse 163W00000X RN9552371 FL

Addresses

Primary practice location

6208 Pembroke Rd
Miramar, FL 33023-2216

Mailing address

8187 NW 8TH St Apt 215
Miami, FL 33126-2895
Phone (786) 774-2705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209003123 FL Practitioner - Nurse Practitioner 2961996830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12171 SW 268TH St
Homestead, FL 33032-8000

12171 SW 268TH St
Homestead, FL 33032-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9552371FLMDRegistered Nurse
APRN11025694FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of South Florida, Inc. CurrentSince Nov 3, 2025 Accepting new patients
American Care of South Florida, Inc. CurrentSince Oct 5, 2025 Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

11255 SW 211th St
Miami, FL 33189
Phone (305) 254-7576

6208 Pembroke Rd
Miramar, FL 33023
Phone (954) 961-7100

6200 Pembroke Rd
Miramar, FL 33023
Phone (954) 961-7100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1124601232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8187 NW 8TH ST APT 215",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262895",
            "telephone_number": "786-774-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 PEMBROKE RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232216",
            "telephone_number": "305-278-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "FIDEL",
        "name_prefix": "Mr.",
        "credential": "ARNP-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-05",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11025694",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9552371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.