Organization Active NPI

Paradigm Medical Center, LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1831048412
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PARADIGM MEDICAL CENTER, LLC
Practice address
12750 NW 17TH St Unit 109
Miami, FL 33182-1421
Phone
(305) 509-5590
Fax
(305) 509-5540
NPI assigned
Jan 26, 2026
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
Julio C Reyes GavilanNPI 1487827242
Title
Owner
Phone
(786) 655-0095

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 Primary

Addresses

Primary practice location

12750 NW 17TH St Unit 109
Miami, FL 33182-1421

Mailing address

12750 NW 17TH St Unit 109
Miami, FL 33182-1421
Phone (305) 509-5590

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2345531Paradigm Medical Center LLC12750 NW 17TH St #109 Room 4, Miami, FL 33182Certificate of waiverJun 10, 2028

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

12750 NW 17th St
Unit 109
Miami, FL 33182
Phone (305) 509-5590

Practitioners & affiliated clinicians

Practitioners 1

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": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1831048412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 NW 17TH ST UNIT 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821421",
            "telephone_number": "305-509-5590",
            "fax_number": "305-509-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 NW 17TH ST UNIT 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821421",
            "telephone_number": "305-509-5590",
            "fax_number": "305-509-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "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": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-655-0095"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, 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 Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.