Provider Demographics
NPI:1528022936
Name:PADRO, SILVINA B (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVINA
Middle Name:B
Last Name:PADRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 HOLLAND ST
Mailing Address - Street 2:INTERNAL MEDICINE
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-2705
Mailing Address - Country:US
Mailing Address - Phone:617-629-6350
Mailing Address - Fax:617-629-6067
Practice Address - Street 1:40 HOLLAND ST
Practice Address - Street 2:INTERNAL MEDICINE
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2705
Practice Address - Country:US
Practice Address - Phone:617-629-6350
Practice Address - Fax:617-629-6067
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV21139207R00000X
MA244728207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001718676OtherMT STATE BC/BS
WVP00013251OtherRR MEDICARE
WVH80403OtherCARELINK
WV7532446OtherAETNA
MA110086949AMedicaid
WV1528022936OtherOHIO WORKER'S COMP
WVFQ21139OtherHEALTH PLAN
WV3003936000Medicaid
WVH80403OtherWV WORKER'S COMP
WV0573007OtherHOME PLAN PEIA ABD CHIPS
WVP00013251OtherRR MEDICARE
WVH80403Medicare UPIN
MA001847601Medicare PIN