Healthcare Provider Details

I. General information

NPI: 1548186778
Provider Name (Legal Business Name): DANIEL VILLAR PARADINAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 GATEWAY BLVD
BOYNTON BEACH FL
33426-8304
US

IV. Provider business mailing address

3615 NE 207TH ST APT 3307
AVENTURA FL
33180-3818
US

V. Phone/Fax

Practice location:
  • Phone: 561-336-0979
  • Fax:
Mailing address:
  • Phone: 561-336-0979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: