Provider Demographics
NPI:1508443185
Name:PARAISO COMMUNITY MENTAL HEALTH INC
Entity Type:Organization
Organization Name:PARAISO COMMUNITY MENTAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCA VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-200-7116
Mailing Address - Street 1:1150 NW 72ND AVE STE 460
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1947
Mailing Address - Country:US
Mailing Address - Phone:305-200-7116
Mailing Address - Fax:
Practice Address - Street 1:1150 NW 72ND AVE STE 460
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1947
Practice Address - Country:US
Practice Address - Phone:305-200-7116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health