Provider Demographics
NPI:1144813015
Name:PARADISE HEALTH GROUP LLC
Entity type:Organization
Organization Name:PARADISE HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORVIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-502-7539
Mailing Address - Street 1:4905 NW 72ND AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5638
Mailing Address - Country:US
Mailing Address - Phone:786-391-3816
Mailing Address - Fax:786-391-3842
Practice Address - Street 1:4905 NW 72ND AVE STE 5
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-5638
Practice Address - Country:US
Practice Address - Phone:786-391-3816
Practice Address - Fax:786-391-3842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management