Active NPI
Vladimir I Padron, MA
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1720359482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11006721
- Practice address
- 21 NW 136TH CT
Miami, FL 33182-1932 - Phone
- (305) 281-0820
- Fax
- (305) 388-2613
- NPI assigned
- Jan 25, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA65506 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11006721 | FL | Primary |
Addresses
Primary practice location
21 NW 136TH CT
Miami, FL 33182-1932
Mailing address
21 NW 136TH CT
Miami, FL 33182-1932
Phone (305) 281-0820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA65506 | FL | MD | Massage Therapist |
| 11006721 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Associates, LLC. | Single Specialty | Current | Accepting new patients |
Locations
2801 W 12th Ave
Hialeah, FL 33010
Phone (305) 805-9500
10860 SW 88th St
Miami, FL 33176
Phone (305) 552-5545
606 W Flagler St
Miami, FL 33130
Phone (305) 545-9292
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1720359482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 NW 136TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331821932",
"telephone_number": "305-281-0820",
"fax_number": "305-388-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 NW 136TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331821932",
"telephone_number": "305-281-0820",
"fax_number": "305-388-2613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRON",
"first_name": "VLADIMIR",
"middle_name": "I",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-25",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA65506",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11006721",
"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 16, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.