Active NPI
Eduardo Miguel Padilla Berdugo, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11008957
- Practice address
- 8323 NW 12TH St Ste 108
Doral, FL 33126-1839 - Phone
- (305) 400-8511
- Fax
- (305) 392-0184
- NPI assigned
- Sep 26, 2020
- Last updated
- Aug 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11008957 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11008957 | FL | Primary |
Addresses
Primary practice location
8323 NW 12TH St Ste 108
Doral, FL 33126-1839
Mailing address
8323 NW 12TH St Ste 108
Doral, FL 33126-1839
Phone (305) 400-8511
Other practice location 1
220 SW 2nd St
Pompano Beach, FL 33060-4611
Phone (305) 774-3300
Other practice location 2
140 NW 59th St Ste 420
Miami, FL 33127-1218
Phone (305) 774-3300
Other practice location 3
10720 Caribbean Blvd Ste 420
Cutler Bay, FL 33189-1244
Phone (786) 293-9544
Other practice location 4
4900 W Oakland Park Blvd Fl 3
Lauderdale Lakes, FL 33313-7500
Phone (954) 327-4060
Other practice location 5
3850 W Flagler St
Coral Gables, FL 33134-1604
Phone (305) 774-3300
Other practice location 6
3800 W Flagler St
Coral Gables, FL 33134-1604
Phone (305) 774-3600
Other practice location 7
3733 W Flagler St
Coral Gables, FL 33134-1601
Phone (305) 774-3400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108937000 | Medicaid | FL | |
| APRN11008957 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banyan Community Health Center, Inc. | Current | Accepting new patients | |
| Banyan Community Health Center, Inc. | Current | Accepting new patients | |
| Banyan Community Health Center, Inc. | Current | Accepting new patients | |
| Banyan Community Health Center, Inc. | Past | Accepting new patients | |
| Banyan Community Health Center, Inc. | Past | Accepting new patients |
Locations
3800 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300
3850 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300
10720 Caribbean Blvd
Ste 420
Cutler Bay, FL 33189
Phone (786) 293-9544
2300 NW 89th Pl
Fl 3
Doral, FL 33172
4900 W Oakland Park Blvd
Fl 3
Lauderdale Lakes, FL 33313
Phone (954) 327-4060
4900 W Oakland Park Blvd
Ste 101
Lauderdale Lakes, FL 33313
Phone 30539861006186
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Coral Gables, FL
- NPI 1104247188
-
- Federally Qualified Health Center (FQHC)
- Coral Gables, FL
- NPI 1922349737
-
- Federally Qualified Health Center (FQHC)
- Lauderdale Lakes, FL
- NPI 1972979631
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1053728790
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Coral Gables, FL
- NPI 1710394499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1972110765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8323 NW 12TH ST STE 108",
"city": "DORAL",
"state": "FL",
"postal_code": "331261839",
"telephone_number": "305-400-8511",
"fax_number": "305-392-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8323 NW 12TH ST STE 108",
"city": "DORAL",
"state": "FL",
"postal_code": "331261839",
"telephone_number": "305-400-8511",
"fax_number": "305-392-0184"
}
],
"practiceLocations": [
{
"address_1": "220 SW 2nd St",
"address_purpose": "LOCATION",
"city": "Pompano Beach",
"state": "FL",
"postal_code": "330604611",
"country_code": "US",
"telephone_number": "305-774-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 NW 59th St Ste 420",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331271218",
"country_code": "US",
"telephone_number": "305-774-3300",
"fax_number": "305-774-3400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10720 Caribbean Blvd Ste 420",
"address_purpose": "LOCATION",
"city": "Cutler Bay",
"state": "FL",
"postal_code": "331891244",
"country_code": "US",
"telephone_number": "786-293-9544",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4900 W Oakland Park Blvd Fl 3",
"address_purpose": "LOCATION",
"city": "Lauderdale Lakes",
"state": "FL",
"postal_code": "333137500",
"country_code": "US",
"telephone_number": "954-327-4060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3850 W Flagler St",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331341604",
"country_code": "US",
"telephone_number": "305-774-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 W Flagler St",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331341604",
"country_code": "US",
"telephone_number": "305-774-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3733 W Flagler St",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331341601",
"country_code": "US",
"telephone_number": "305-774-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADILLA BERDUGO",
"first_name": "EDUARDO",
"middle_name": "MIGUEL",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-26",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11008957",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11008957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108937000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
"identifier": "APRN11008957",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.