Active NPI
Ibrahim Padron, CRNA
- Certified Registered Nurse Anesthetist
- Miami, FL
National Provider Identifier
1457708752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9306680
- Practice address
- 12355 SW 18TH St Apt 215
Miami, FL 33175-1525 - Phone
- (786) 208-6955
- NPI assigned
- May 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9306680 | FL | Primary |
Addresses
Primary practice location
12355 SW 18TH St Apt 215
Miami, FL 33175-1525
Mailing address
12355 SW 18TH St Apt 215
Miami, FL 33175-1525
Phone (786) 208-6955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180423001940 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4587927785 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9306680 | FL | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1457708752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12355 SW 18TH ST APT 215",
"city": "MIAMI",
"state": "FL",
"postal_code": "331751525",
"telephone_number": "786-208-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12355 SW 18TH ST APT 215",
"city": "MIAMI",
"state": "FL",
"postal_code": "331751525",
"telephone_number": "786-208-6955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRON",
"first_name": "IBRAHIM",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-17",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9306680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 30, 2016; 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.