Basic Information
| Provider Information | |||||||||
| NPI: | 1528022936 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PADRO | ||||||||
| FirstName: | SILVINA | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 40 HOLLAND ST | ||||||||
| Address2: | INTERNAL MEDICINE | ||||||||
| City: | SOMERVILLE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021442705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176296350 | ||||||||
| FaxNumber: | 6176296067 | ||||||||
| Practice Location | |||||||||
| Address1: | 40 HOLLAND ST | ||||||||
| Address2: | INTERNAL MEDICINE | ||||||||
| City: | SOMERVILLE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021442705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176296350 | ||||||||
| FaxNumber: | 6176296067 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2006 | ||||||||
| LastUpdateDate: | 02/18/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 21139 | WV | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 244728 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 001718676 | 01 | WV | MT STATE BC/BS | OTHER | P00013251 | 01 | WV | RR MEDICARE | OTHER | H80403 | 01 | WV | CARELINK | OTHER | 7532446 | 01 | WV | AETNA | OTHER | 110086949A | 05 | MA | MEDICAID | 1528022936 | 01 | WV | OHIO WORKER'S COMP | OTHER | FQ21139 | 01 | WV | HEALTH PLAN | OTHER | 3003936000 | 05 | WV | MEDICAID | H80403 | 01 | WV | WV WORKER'S COMP | OTHER | 0573007 | 01 | WV | HOME PLAN PEIA ABD CHIPS | OTHER |