| Paradise Healthcare Clinic Llc | |
|
10300 Sw 72nd St Ste 350 Miami FL 33173-3019 | |
| (786) 765-8910 | |
| Not Available |
| Full Name | Paradise Healthcare Clinic Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10300 Sw 72nd St Ste 350, Miami, Florida |
| Authorized Official Name and Position | Dayanis M Reyes Ramirez (CEO) |
| Authorized Official Contact | 7867658910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Healthcare Clinic Llc 10300 Sw 72nd St Ste 350 Miami FL 33173-3019 Ph: (786) 765-8910 | Paradise Healthcare Clinic Llc 10300 Sw 72nd St Ste 350 Miami FL 33173-3019 Ph: (786) 765-8910 |
| NPI Number | 1699553701 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Medicare PECOS PAC ID | 8527409267 |
|---|---|
| Medicare Enrollment ID | O20240513003444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699553701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Anabel Garcia Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184400426 PECOS PAC ID: 1355796053 Enrollment ID: I20231016003124 |
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