Organization
PARADISE WEST MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISEL RIVERA (OWNER)
(787) 833-1870
Entity
Organization
Contact information
Practice address
CALLE TENERIFE, # 11, MAYAGUEZ, PR 00680-1474
(787) 833-1870
(787) 833-1870
Mailing address
PO BOX 582, MAYAGUEZ, PR 00681-0582
(787) 833-1870
(787) 833-1870
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
5140390001
PR
Other
Enumeration date
06/12/2005
Last updated
08/22/2020
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