| Paradise Healthcare Clinic Llc | |
|
9010 Sw 137th Ave Ste 116a Miami FL 33186-1437 | |
| (786) 963-0121 | |
| (786) 963-0138 |
| Full Name | Paradise Healthcare Clinic Llc |
|---|---|
| Speciality | Pathology |
| Location | 9010 Sw 137th Ave Ste 116a, 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 9010 Sw 137th Ave Ste 116a Miami FL 33186-1437 Ph: (786) 963-0121 | Paradise Healthcare Clinic Llc 9010 Sw 137th Ave Ste 116a Miami FL 33186-1437 Ph: (786) 963-0121 |
| NPI Number | 1699553701 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Medicare PECOS PAC ID | 8527409267 |
|---|---|
| Medicare Enrollment ID | O20240513003444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699553701 | NPI | - | NPPES |
| Provider Name | Raja M Gidwani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235165051 PECOS PAC ID: 6608047014 Enrollment ID: I20110915000268 |
| Provider Name | Rene D Sifontes Mejias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295134591 PECOS PAC ID: 2264810324 Enrollment ID: I20220601000964 |
| 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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