Healthcare Provider Details

I. General information

NPI: 1013961705
Provider Name (Legal Business Name): CELIA Z PADRON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7930 NW 36TH ST STE 215
DORAL FL
33166-6677
US

IV. Provider business mailing address

7930 NW 36TH ST STE 215
DORAL FL
33166-6677
US

V. Phone/Fax

Practice location:
  • Phone: 305-587-2408
  • Fax: 877-347-5666
Mailing address:
  • Phone: 856-596-6333
  • Fax: 856-596-6655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME129459
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MA05448300
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME129459
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: