# PARADIGM MEDICAL CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285916015
- **Authorized official:** DR. JULIO CESAR REYES-GAVILAN MD (OWNER)
- **Authorized official phone:** (786) 246-7289

## Contact information

- **Practice address:** 2240 NW 87TH AVE, DORAL, FL 33172-2414
- **Practice address phone:** (786) 655-0095
- **Practice address fax:** (786) 870-5651
- **Mailing address:** 16015 SW 102ND LN, MIAMI, FL 33196-6173
- **Mailing address phone:** (786) 655-0095
- **Mailing address fax:** (786) 870-5651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME121514 | FL | Yes |

## Other

- **Enumeration date:** 09/19/2011
- **Last updated:** 04/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004296400 | — | FL |
