Organization Active NPI

Paradigm Medical Center, LLC

  • General Practice Physician
  • Doral, FL
National Provider Identifier
1285916015
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME121514 Issued in FL
Legal business name
PARADIGM MEDICAL CENTER, LLC
Practice address
2240 NW 87TH Ave
Doral, FL 33172-2414
Phone
(786) 655-0095
Fax
(786) 870-5651
NPI assigned
Sep 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Dr. Julio Cesar Reyes-Gavilan, MDNPI 1487827242
Title
Owner
Phone
(786) 246-7289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME121514 FL Primary

Addresses

Primary practice location

2240 NW 87TH Ave
Doral, FL 33172-2414

Mailing address

16015 SW 102ND LN
Miami, FL 33196-6173
Phone (786) 655-0095

Other identifiers 1

IdentifierTypeStateIssuer
004296400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111028000307 FL Part B Supplier - Clinic/Group Practice 1951574474 Receives reassigned benefits from 1 practitioner
Practice locations: Doral, FL

National Provider Directory

National Provider Directory
Tax ID family
Paradigm Medical Center2 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.

Locations

2240 NW 87th Ave
Doral, FL 33172
Phone (786) 655-0095

815 NW 57th Ave
Ste 205
Miami, FL 33126
Phone (305) 266-2286

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1285916015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16015 SW 102ND LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966173",
            "telephone_number": "786-655-0095",
            "fax_number": "786-870-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 NW 87TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722414",
            "telephone_number": "786-655-0095",
            "fax_number": "786-870-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "REYES-GAVILAN",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-246-7289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME121514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004296400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.