Individual provider Active NPI

Rolando B Padro, M.D.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1174638027
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME66446 Issued in FL
Practice address
15439 SW 137TH Ave
Miami, FL 33177-1279
Phone
(305) 259-5570
Fax
(305) 259-5533
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME66446 FL Primary

Addresses

Primary practice location

15439 SW 137TH Ave
Miami, FL 33177-1279

Mailing address

15439 SW 137TH Ave
Miami, FL 33177-1279
Phone (305) 259-5570

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000765 FL Practitioner - General Practice 2264455963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15439 SW 137TH Ave
Miami, FL 33177-1279
Phone (305) 259-5570

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CR Medical Group Inc CurrentSince May 1, 2002 Accepting new patients

Locations

15439 SW 137th Ave
Miami, FL 33177
Phone (305) 259-5570

Organizations & group practices 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174638027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15439 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771279",
            "telephone_number": "305-259-5570",
            "fax_number": "305-259-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15439 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771279",
            "telephone_number": "305-259-5570",
            "fax_number": "305-259-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRO",
        "first_name": "ROLANDO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME66446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.