Provider Demographics
NPI:1609695402
Name:PARADISE MEDICAL CENTER 2, INC
Entity type:Organization
Organization Name:PARADISE MEDICAL CENTER 2, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORENO HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP APRN
Authorized Official - Phone:786-536-2558
Mailing Address - Street 1:22402 SW 128TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-2714
Mailing Address - Country:US
Mailing Address - Phone:786-853-9531
Mailing Address - Fax:786-536-2928
Practice Address - Street 1:8364 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4180
Practice Address - Country:US
Practice Address - Phone:786-536-2558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center