Healthcare Provider Details

I. General information

NPI: 1215417522
Provider Name (Legal Business Name): PADRO HEALTH GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 S RED RD STE 102
SOUTH MIAMI FL
33143-5429
US

IV. Provider business mailing address

7600 S RED RD STE 102
SOUTH MIAMI FL
33143-5429
US

V. Phone/Fax

Practice location:
  • Phone: 305-456-1014
  • Fax: 786-329-6863
Mailing address:
  • Phone: 305-456-1014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP3974
License Number StateFL

VIII. Authorized Official

Name: RAFAEL PADRO
Title or Position: OWNER AND ACUPUNCTURIST
Credential: AP
Phone: 305-456-1014