Healthcare Provider Details

I. General information

NPI: 1902278062
Provider Name (Legal Business Name): PAJ HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2015
Last Update Date: 01/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NW 95TH ST 2-MAIN
MIAMI FL
33150-2038
US

IV. Provider business mailing address

PO BOX 640890
MIAMI FL
33164-0890
US

V. Phone/Fax

Practice location:
  • Phone: 786-671-3267
  • Fax:
Mailing address:
  • Phone: 786-671-3267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateFL

VIII. Authorized Official

Name: DENISE MELENDEZ
Title or Position: DIRECTOR
Credential:
Phone: 786-671-3267