Healthcare Provider Details

I. General information

NPI: 1841237260
Provider Name (Legal Business Name): YADIRA PADIN-ROJAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 9TH ST SW
VERO BEACH FL
32962-4312
US

IV. Provider business mailing address

1555 INDIAN RIVER BLVD STE B210
VERO BEACH FL
32960-7113
US

V. Phone/Fax

Practice location:
  • Phone: 772-257-8224
  • Fax: 772-213-3157
Mailing address:
  • Phone: 772-257-8224
  • Fax: 772-252-3245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME92017
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: