Organization Active NPI

Prado Psychiatry Care LLC

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1336854520
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PRADO PSYCHIATRY CARE LLC
Practice address
801 NW 37TH Ave Ste 212
Miami, FL 33125-3883
Phone
(305) 504-6131
Fax
(305) 452-0571
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Maybel Concepcion
Title
Ceo
Phone
(305) 504-6131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

801 NW 37TH Ave Ste 212
Miami, FL 33125-3883

Mailing address

801 NW 37TH Ave Ste 212
Miami, FL 33125-3883
Phone (305) 504-6131

Other names 1

  • Med-Life Psychiatry Center LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230316000604 FL Part B Supplier - Clinic/Group Practice 2860866787 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

801 NW 37th Ave
Ste 212
Miami, FL 33125
Phone (305) 504-6131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1336854520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NW 37TH AVE STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253883",
            "telephone_number": "305-504-6131",
            "fax_number": "305-452-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NW 37TH AVE STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253883",
            "telephone_number": "305-504-6131",
            "fax_number": "305-452-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADO PSYCHIATRY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "MAYBEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-504-6131"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Life Psychiatry Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.