Individual provider Active NPI

Eduardo Miguel Padilla Berdugo, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Doral, FL
National Provider Identifier
1972110765
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11008957 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
108937000MedicaidFL
APRN11008957OtherFLSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210106000239 FL Practitioner - Nurse Practitioner 0244643559 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Community Health Center, Inc. Current Accepting new patients
Banyan Community Health Center, Inc. CurrentSince Dec 21, 2020 Accepting new patients
Banyan Community Health Center, Inc. CurrentSince Dec 21, 2020 Accepting new patients
Banyan Community Health Center, Inc. PastSince Aug 1, 2021 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.

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

Verify at the official NPI Registry.