Paradise Wellness Medical Center Corp

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME118298 Issued in FL

Legal business name

PARADISE WELLNESS MEDICAL CENTER CORP

Practice address

4355 W 16TH Ave Ste 201
Hialeah, FL 33012-7667

Phone

(786) 631-3763

Fax

(786) 631-3836

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Luis A Queral, MD

Title

Medical Doctor

Phone

(786) 631-3763

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1679974182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 W 16TH AVE STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127667",
            "telephone_number": "786-631-3763",
            "fax_number": "786-631-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 W 16TH AVE STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127667",
            "telephone_number": "786-631-3763",
            "fax_number": "786-631-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE WELLNESS MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "QUERAL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "786-631-3763",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME118298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paradise Community Health Corp
• Paradise Dental Care Inc
• Paradise of Hialeah
• Paradise Social Club Adult Day Care Corp
• Paradise Social Club Adult Day Care, Corp
• Paraiso Dos Gardenias LLC
• Paramedx Inc
• Paramount Community Mental Health Center, Inc.
• Lorena Parapar
• Glenda Anabel Parasole Sanchez, DDS

• Health Service Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.