| Blue Paradise Medical Center Llc | |
|
5941 Nw 173rd Dr Unit B6 Hialeah FL 33015-5109 | |
| (786) 360-4328 | |
| (786) 409-7369 |
| Full Name | Blue Paradise Medical Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5941 Nw 173rd Dr Unit B6, Hialeah, Florida |
| Authorized Official Name and Position | Julio C Brito Miranda (PRESIDENT) |
| Authorized Official Contact | 7864888909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Paradise Medical Center Llc 5941 Nw 173rd Dr Unit B6 Hialeah FL 33015-5109 Ph: (786) 360-4328 | Blue Paradise Medical Center Llc 5941 Nw 173rd Dr Unit B6 Hialeah FL 33015-5109 Ph: (786) 360-4328 |
| NPI Number | 1427621028 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 01/23/2024 |
| Certification Date | 11/22/2022 |
| Medicare PECOS PAC ID | 3678968708 |
|---|---|
| Medicare Enrollment ID | O20220328000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427621028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Alex A Agostini-miranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104815117 PECOS PAC ID: 3274519590 Enrollment ID: I20061009000177 |
| Provider Name | Naomi Jeanty-higgins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285029595 PECOS PAC ID: 8921413857 Enrollment ID: I20210416000176 |
| Provider Name | Mayelin Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790220911 PECOS PAC ID: 4688067648 Enrollment ID: I20220215002658 |
Medical Consulting Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1671 W 37th St Ste 3, Hialeah, FL 33012 Phone: 305-649-0492 Fax: 305-649-0496 | |
Little Heroes Therapy Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1840 W 49th St Ste 302, Hialeah, FL 33012 Phone: 786-391-2275 Fax: 786-409-5239 | |
Renacer Community Wellness Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5911 Nw 173rd Dr Unit 28, Hialeah, FL 33015 Phone: 786-564-5282 | |
Lazaro H Cordoves Md Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5951 Nw 173rd Dr, Suite 7, Hialeah, FL 33015 Phone: 305-557-1030 Fax: 305-557-9757 | |
One Point Behavioral Solutions, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4355 W 16th Ave Ste 201, Hialeah, FL 33012 Phone: 786-360-4783 | |
Psych Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 W 68th St, Hialeah, FL 33016 Phone: 305-823-5000 Fax: 305-364-2173 | |
Growthbridge Behavior Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1664 W 42nd Pl, Hialeah, FL 33012 Phone: 786-616-5510 |