Healthcare Provider Details

I. General information

NPI: 1245194968
Provider Name (Legal Business Name): MELANIE PADRON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 SW 8TH ST STE 258
MIAMI FL
33144-4000
US

IV. Provider business mailing address

6755 NW 169TH ST APT H
HIALEAH FL
33015-4229
US

V. Phone/Fax

Practice location:
  • Phone: 305-810-8869
  • Fax: 305-402-6468
Mailing address:
  • Phone: 828-406-8322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number06-108
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number06-108
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: