Provider Demographics
NPI:1427237528
Name:PADRINO, NATACHA M (MD)
Entity type:Individual
Prefix:
First Name:NATACHA
Middle Name:M
Last Name:PADRINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8306 MILLS DR STE 197
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4838
Mailing Address - Country:US
Mailing Address - Phone:305-598-5558
Mailing Address - Fax:
Practice Address - Street 1:11775 SW 92 LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4838
Practice Address - Country:US
Practice Address - Phone:305-598-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME770802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL102058600Medicaid
FLI50074Medicare UPIN