Padre Pio Clinic Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

43966-020 Issued in WI

Legal business name

PADRE PIO CLINIC INC.

Practice address

3700 E Williams Field Rd Apt 2040
Gilbert, AZ 85295-7000

Phone

(414) 520-3896

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dana Rodriguez, NPNPI 1003839176

Title

Medical Director

Phone

(414) 520-3896

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Dana M. Rodriguez, N.P., PHD

  • Pediatric Nurse Practitioner
  • San Diego, CA
  • NPI 1003839176
  NPD Authorized official

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1407109093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 E WILLIAMS FIELD RD APT 2040",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957000",
            "telephone_number": "414-520-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 E WILLIAMS FIELD RD APT 2040",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957000",
            "telephone_number": "414-520-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADRE PIO CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "414-520-3896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": "43966-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34152600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Taylor Packer, DMD
• Sydney Paden, PA
• Ann Marie Padilla, M.D.
• Crystal Padilla, RBT
• Nadene Marie Padilla, PHARMD
• Jodie Page
• Pain Experts of Arizona PC
• Pain Specialty Surgical Center
• Pairadox Plus, LLC
• Lorena Celina Palacios- Rodriguez

• Primary Care Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.