Paradise Medical Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

4308950001 Issued in PR

Legal business name

PARADISE MEDICAL SUPPLY, INC.

Practice address

809 Molucas Street
Country Club
San Juan, PR 00924-1701

Phone

(787) 633-7423

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Myrna Rivera

Title

President

Phone

(787) 633-7423

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1336161785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 SAN CLAUDIO ST. , PMB 274",
            "address_2": "URB. SAGRADO CORAZON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264143",
            "telephone_number": "787-633-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MOLUCAS STREET",
            "address_2": "COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009241701",
            "telephone_number": "787-633-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-633-7423",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PR",
            "license": "4308950001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonahrey A. Pantoja
• Natalie Pantoja
• Carlos A. Pantojas, M.D.
• Eric Francisco Paoli
• Kristin Miyoko Papa, MSW
• Denisse Mary Parapar Anzalota
• Felix Mijahil Paredes-Gonzalez
• Maria Eugenia Paredes, PH.D(C)
• Parent 2 Parent Coaching & Therapy Services LLC
• Amanda Krystal Pares Valles

• Oxygen Equipment & Supplies (DME) in San Juan, PR
• Providers in San Juan, PR by specialty
• Oxygen Equipment & Supplies (DME) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.