Pavilion Gardens LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

7469 Issued in FL

Legal business name

PAVILION GARDENS LLC

Practice address

71 W 30TH St
Hialeah, FL 33012-5412

Phone

(305) 884-5613

Fax

(305) 884-5225

NPI assigned

Jun 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Armando Godinez

Title

Administrator

Phone

(305) 884-5613

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043412430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 W 30TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125412",
            "telephone_number": "305-884-5613",
            "fax_number": "305-884-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W 30TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125412",
            "telephone_number": "305-884-5613",
            "fax_number": "305-884-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION GARDENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODINEZ",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-884-5613",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "7469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patro ABA Inc
• Hibelis M Patton, ARNP
• Marquand Patton Jr., D.O.
• Prince Paul, PHARMD
• Amado Miguel Paula Marrero
• Xiomara M Pavon Perez
• Oscar Andres Pavon Sanfiel
• Aracelys Pavon, RBT
• Grethel Pavon
• Anabel Paya, D.M.D.

• Assisted Living Facility (Mental Illness) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.