Individual provider Active NPI

Simonette Andrea Padron, DO

  • Obstetrics & Gynecology Physician
  • Miramar, FL
National Provider Identifier
1760003610
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS21801 Issued in FL
Practice address
1951 SW 172ND Ave Ste 212
Miramar, FL 33029-5613
Phone
(954) 507-4494
Fax
(954) 507-4515
NPI assigned
May 1, 2020
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS21801 FL Primary

Addresses

Primary practice location

1951 SW 172ND Ave Ste 212
Miramar, FL 33029-5613

Mailing address

1951 SW 172ND Ave Ste 212
Miramar, FL 33029-5613
Phone (954) 507-4494

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OS21801FLMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: simonette.padron.1@15759.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1760003610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE STE 212",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295613",
            "telephone_number": "954-507-4494",
            "fax_number": "954-507-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE STE 212",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295613",
            "telephone_number": "954-507-4494",
            "fax_number": "954-507-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON",
        "first_name": "SIMONETTE",
        "middle_name": "ANDREA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS21801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.