Active NPI
Stephanie Padron
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1689127284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 149150
- Practice address
- 10300 SW 72ND St Ste 351
Miami, FL 33173-3019 - Phone
- (305) 273-1200
- NPI assigned
- Jul 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 149150 | FL | Primary |
Addresses
Primary practice location
10300 SW 72ND St Ste 351
Miami, FL 33173-3019
Mailing address
4465 SW 15TH St
Miami, FL 33134-3706
Phone (786) 253-0147
Other practice location 1
3100 SW 62nd Ave
Miami, FL 33155-3009
Phone (305) 669-5873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149150 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Pediatric Associates, L.C | Pediatrics | Past | Accepting new patients |
| Vitalmd Group Holding LLC | Pediatrics | Past | Accepting new patients |
| Cordero and Perez-Silva, MD, PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Miami, FL
- NPI 1134346505
-
- Pediatrics Physician
- Miami, FL
- NPI 1659689701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625961600000",
"number": "1689127284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4465 SW 15TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331343706",
"telephone_number": "786-253-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST STE 351",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733019",
"telephone_number": "305-273-1200"
}
],
"practiceLocations": [
{
"address_1": "3100 SW 62nd Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331553009",
"country_code": "US",
"telephone_number": "305-669-5873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADRON",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2021-07-11",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "149150",
"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 Jul 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.