Provider Demographics
NPI:1861270407
Name:PADRON, VICTORIA MARIA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MARIA
Last Name:PADRON
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8905 NW 120TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4166
Mailing Address - Country:US
Mailing Address - Phone:786-571-8344
Mailing Address - Fax:305-402-7830
Practice Address - Street 1:8905 NW 120TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4166
Practice Address - Country:US
Practice Address - Phone:786-571-8344
Practice Address - Fax:305-402-7830
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2025-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA23034235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist