MEDICARE: DR. PADRO & ASOCIADOS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center	709	PR

General Provider Information

NPI Number	:	1588990600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. PADRO & ASOCIADOS INC.

Provider Business Mailing Address
First Line	:	1616 AVE PONCE DE LEON STE 2
Second Line	:	SANTURCE
City	:	SAN JUAN
State	:	PR
Zip	:	00909-1845
Country	:	US
Telephone Number	:	787-717-0751
Fax Number	:

Provider Business Practice Location Address
First Line	:	1616 AVE PONCE DE LEON STE 2
Second Line	:	SANTURCE
City	:	SAN JUAN
State	:	PR
Zip	:	00909-1845
Country	:	US
Telephone Number	:	787-717-0751
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT / CEO
Name	:	MR. RAFAEL E PADRO
Credential	:	PH.D.
Telephone Number	:	787-717-0751

Provider Enumeration Date	:	10/23/2009
Last Update Date	:	10/23/2009

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