MEDICARE: PARADISE OUTPATIENT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1083711998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARADISE OUTPATIENT INC

Provider Business Mailing Address
First Line	:	2620 NW 21ST TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-7113
Country	:	US
Telephone Number	:	305-637-6770
Fax Number	:	305-637-6780

Provider Business Practice Location Address
First Line	:	2620 NW 21ST TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-7113
Country	:	US
Telephone Number	:	305-637-6770
Fax Number	:	305-637-6780

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JASIEL RODRIGUEZ
Credential	:
Telephone Number	:	305-637-6770

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	06/27/2012

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1790890481 — BETA PHARMACY INC
Practice Location Address:

2638 NW 21ST TER
MIAMI, FL
33142-7113

Practice Phone: 305-637-9719
Practice Fax: 305-637-9720

1003050584 — NC CUBAN BUFFET
Practice Location Address:

2606 NW 21ST TER
MIAMI, FL
33142-7113

Practice Phone: 786-953-7012
Practice Fax:

1245587302 — AXIS LE PROFESSIONAL MEDICAL GROUP
Practice Location Address:

2604 NW 21ST TER
MIAMI, FL
33142-7113

Practice Phone: 305-877-8184
Practice Fax:

1033214846 — DR. WILLIAM G. JACKSON JR. DDS INC
Practice Location Address:

7113 MIAMI AVE
CINCINNATI, OH
45243-2616

Practice Phone: 513-561-5318
Practice Fax: 513-561-1120

1336311695 — JAMES MEDICAL CENTER PA
Practice Location Address:

627 ELDRON DR
MIAMI SPRINGS, FL
33166-7113

Practice Phone: 305-885-1623
Practice Fax: 305-885-1811

Directions to “PARADISE OUTPATIENT INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.