Provider Demographics
NPI:1730950254
Name:PADILLA, FRANCISCO ANTONIO (MS RDN CSSD)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:ANTONIO
Last Name:PADILLA
Suffix:
Gender:M
Credentials:MS RDN CSSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834 S JOPLIN CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-3068
Mailing Address - Country:US
Mailing Address - Phone:720-255-9470
Mailing Address - Fax:
Practice Address - Street 1:8085 S CHESTER ST
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3543
Practice Address - Country:US
Practice Address - Phone:720-255-9470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86148609133V00000X
CO133VN1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics