Blue Paradise Medical Center LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BLUE PARADISE MEDICAL CENTER LLC

Practice address

5941 NW 173Rd Dr Unit B6
Hialeah, FL 33015-5109

Phone

(786) 360-4328

Fax

(786) 409-3696

NPI assigned

Mar 5, 2022

Organization subpart

No

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

Authorized official

Name

Julio C Brito Miranda

Title

Administrator

Phone

(786) 360-4328

Specialties & licenses 1

Addresses

Tax ID family

Blue Paradise Medical Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blue Paradise Medical Center LLC

  • Community/Behavioral Health Agency
  • Hialeah, FL
  • NPI 1427621028
  NPD tax ID

Locations

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1124775549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 NW 173RD DR UNIT B6",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155109",
            "telephone_number": "786-360-4328",
            "fax_number": "786-409-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 NW 173RD DR UNIT B6",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155109",
            "telephone_number": "786-360-4328",
            "fax_number": "786-409-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE PARADISE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A",
        "authorized_official_last_name": "BRITO MIRANDA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-360-4328"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blue Planets Behavior Corp
• Blue Sea Therapy Services Inc
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• Blue Sky Mental Health Corp

• Case Management Agency in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.