Paradise West Medical

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

5140390001 Issued in PR

Legal business name

PARADISE WEST MEDICAL

Practice address

Calle Tenerife
# 11
Mayaguez, PR 00680-1474

Phone

(787) 833-1870

Fax

(787) 833-1870

NPI assigned

Jun 12, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Marisel Rivera

Title

Owner

Phone

(787) 833-1870

Specialties & licenses 1

Addresses

Tax ID family

Paradise West Medical2 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.

• Paradise West Medical, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Mayaguez, PR
  • NPI 1346343670
  NPD tax ID

Locations

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

{
    "created_epoch": "1118534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912901489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 582",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810582",
            "telephone_number": "787-833-1870",
            "fax_number": "787-833-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE TENERIFE",
            "address_2": "# 11",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801474",
            "telephone_number": "787-833-1870",
            "fax_number": "787-833-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE WEST MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MARISEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-833-1870",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": "5140390001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Pagan-Montalvo, BS, MS, PHARMD
• Vannessa Pagan-Ocasio, MD
• Gabriel Emil Pagan, PSYD, PASSII
• Mayra N Pagan
• Mildred Nereida Pancorbo, LCDA
• Paradise West Medical, Inc.
• Partners in Hope Inc
• Pathology Lab Inc
• Patricio J. Sumaza, DMD, CSP
• Pearle Vision Center of Puerto Rico, Inc

• Exclusive Provider Organization in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Exclusive Provider Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.