MEDICARE: MARIELA TERESA PADRO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	ME121222	FL

General Provider Information

NPI Number	:	1992023790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIELA TERESA PADRO M.D.

Provider Business Mailing Address
First Line	:	975 ARTHUR GODFREY RD STE 302
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3342
Country	:	US
Telephone Number	:	305-456-1014
Fax Number	:	786-329-6863

Provider Business Practice Location Address
First Line	:	975 ARTHUR GODFREY RD STE 302
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3342
Country	:	US
Telephone Number	:	305-456-1014
Fax Number	:	786-329-6863

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2010
Last Update Date	:	04/14/2026

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