Individual ProviderAlberto PadillaSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2104 Northdale Blvd NW, #100, Coon Rapids, MN 55433-3028(763) 755-5495PECOS EnrollmentBased on the most recent information from CMS, provider Alberto Padilla does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1942543244Provider TypeIndividualFull NamePadilla, AlbertoCredentialATCGenderMaleSole ProprietorNoEnumeration Date4/4/2013Last Updated4/4/2013Contact InformationPractice LocationPractice Address2104 Northdale Blvd NW, #100, Coon Rapids, MN 55433-3028Phone(763) 755-5495FaxUnlisted FaxMailing LocationMailing Address2104 Northdale Blvd NW, #100, Coon Rapids, MN 55433-3028Phone(763) 755-5495FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1529MinnesotaCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseRT005383Pennsylvania