Doctor Name: | MRS. ADA M. PADRO |
NPI Number: | 1154667434 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYCHOLOGIST |
License Number: | 1109 |
Business Practice Address: | 15 San Antonio St. Hormigueros, PR - 00660 |
Business Phone Number: | 7876901660 |
Business Fax Number: | |
Mailing Address: | Po Box 1337, HORMIGUEROS |
State: | PR |
Postal Code: | 006605337 |
Phone Number: | 7876901660 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2012 |
NPI Last Update Date: | 12/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | 1109 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |