Provider Demographics
NPI:1588990600
Name:DR. PADRO & ASOCIADOS INC.
Entity type:Organization
Organization Name:DR. PADRO & ASOCIADOS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:PADRO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-717-0751
Mailing Address - Street 1:1616 AVE PONCE DE LEON STE 2
Mailing Address - Street 2:SANTURCE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-1845
Mailing Address - Country:US
Mailing Address - Phone:787-717-0751
Mailing Address - Fax:
Practice Address - Street 1:1616 AVE PONCE DE LEON STE 2
Practice Address - Street 2:SANTURCE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1845
Practice Address - Country:US
Practice Address - Phone:787-717-0751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR709261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health