Healthcare Provider Details

I. General information

NPI: 1366242802
Provider Name (Legal Business Name): MARIELA PADRO MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5415 COLLINS AVE
MIAMI BEACH FL
33140-2575
US

IV. Provider business mailing address

5415 COLLINS AVE APT PHE
MIAMI BEACH FL
33140-2575
US

V. Phone/Fax

Practice location:
  • Phone: 305-456-1014
  • Fax: 786-787-4404
Mailing address:
  • Phone: 917-226-3698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIELA PADRO
Title or Position: MEMBER
Credential: MD
Phone: 645-224-2402