Provider Demographics
NPI:1831071992
Name:PADRON DE LA PAZ, FLAVIA ELENA
Entity type:Individual
Prefix:MISS
First Name:FLAVIA
Middle Name:ELENA
Last Name:PADRON DE LA PAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6253 TAMIAMI CANAL RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4563
Mailing Address - Country:US
Mailing Address - Phone:786-794-1199
Mailing Address - Fax:
Practice Address - Street 1:6253 TAMIAMI CANAL RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4563
Practice Address - Country:US
Practice Address - Phone:786-794-1199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP626-700-60-500-0106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician