Golden Paradise Rehab

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

17798 Issued in TX

Legal business name

GOLDEN PARADISE REHAB

Practice address

3005 E Business Highway 83 Unit a
Donna, TX 78537-3623

Phone

(956) 461-2041

Fax

(956) 461-2072

NPI assigned

Dec 3, 2011

Last updated

Dec 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Efrain Agustine

Title

Owner

Phone

(956) 461-2041

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia A Gutierrez, MACCSLP

  • Speech-Language Pathologist
  • Donna, TX
  • NPI 1699814178
  NPD (past)

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

{
    "created_epoch": "1322870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322870400000",
    "number": "1265700389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 E BUSINESS HIGHWAY 83 UNIT A",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785373623",
            "telephone_number": "956-461-2041",
            "fax_number": "956-461-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 E BUSINESS HIGHWAY 83 UNIT A",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785373623",
            "telephone_number": "956-461-2041",
            "fax_number": "956-461-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PARADISE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-03",
        "last_updated": "2011-12-03",
        "status": "A",
        "authorized_official_last_name": "AGUSTINE",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-461-2041",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "17798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Annette R Gonzalez, RN
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• Point of Service in Donna, TX
• Providers in Donna, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2011; 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.