Provider Demographics
NPI:1902895311
Name:PADRON, AIRAMA M (MD)
Entity Type:Individual
Prefix:
First Name:AIRAMA
Middle Name:M
Last Name:PADRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 MIAMI LAKES DR E
Mailing Address - Street 2:OAK SQUARE BUSINESS CENTER
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2401
Mailing Address - Country:US
Mailing Address - Phone:305-821-9115
Mailing Address - Fax:305-821-9150
Practice Address - Street 1:5801 MIAMI LAKES DR E
Practice Address - Street 2:OAK SQUARE BUSINESS CENTER
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2401
Practice Address - Country:US
Practice Address - Phone:305-821-9115
Practice Address - Fax:305-821-9150
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261447200Medicaid