Provider Demographics
NPI:1114501301
Name:CRISTAL PARADALS COMMUNITY MENTAL HEALTH CORP
Entity Type:Organization
Organization Name:CRISTAL PARADALS COMMUNITY MENTAL HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:BATISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-444-2018
Mailing Address - Street 1:2450 SW 137TH AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6312
Mailing Address - Country:US
Mailing Address - Phone:305-444-2018
Mailing Address - Fax:
Practice Address - Street 1:2450 SW 137TH AVE STE 207
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6312
Practice Address - Country:US
Practice Address - Phone:305-444-2018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)