Organization Active NPI

Paradise Outpatient Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Miami, FL
National Provider Identifier
1083711998
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PARADISE OUTPATIENT INC
Practice address
2620 NW 21St Ter
Miami, FL 33142-7113
Phone
(305) 637-6770
Fax
(305) 637-6780
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Jasiel Rodriguez
Title
Administrator
Phone
(305) 637-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

2620 NW 21St Ter
Miami, FL 33142-7113

Mailing address

2620 NW 21St Ter
Miami, FL 33142-7113
Phone (305) 637-6770

National Provider Directory

National Provider Directory

Locations

2620 NW 21st Ter
Miami, FL 33142
Phone (305) 637-6770

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1083711998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 NW 21ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331427113",
            "telephone_number": "305-637-6770",
            "fax_number": "305-637-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 NW 21ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331427113",
            "telephone_number": "305-637-6770",
            "fax_number": "305-637-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE OUTPATIENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JASIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-637-6770"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.