Tanya Marie Patron, PA-C

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

PA9105866 Issued in FL

Practice address

5901 SW 74TH St Ste 302
Miami, FL 33143-5163

Phone

(305) 390-8440

NPI assigned

Feb 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1194021345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 SW 74TH ST STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331435163",
            "telephone_number": "305-390-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 SW 74TH ST STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331435163",
            "telephone_number": "305-390-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRON",
        "first_name": "TANYA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "PA9105866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194021345",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trakeivia Denise Patrick, COTA/L
• Patriot Transportation Inc
• Patriotic Virtual Telehealth
• Pasquale Patrizio, MD
• Aymara Patron
• Leandro Patterson Silva, RBT
• Shawnette Patterson-Lewis
• Alejandra Margarita Patterson, MSN, APRN, FNP-BC
• Jennifer Patterson, OTR/L
• Kelly Patterson, HEALTH CARE AGENGY

• Plastic Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.