Provider Demographics
NPI:1598561474
Name:PARADISE RIVER CORP
Entity type:Organization
Organization Name:PARADISE RIVER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADOR
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANABRIA DE JESUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-557-1097
Mailing Address - Street 1:PO BOX 733
Mailing Address - Street 2:
Mailing Address - City:ARROYO
Mailing Address - State:PR
Mailing Address - Zip Code:00714-0733
Mailing Address - Country:US
Mailing Address - Phone:787-839-5775
Mailing Address - Fax:
Practice Address - Street 1:BO. YAUREL SECTOR PALMAREJO
Practice Address - Street 2:CARR 753 RR 7754 KM 0.7
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714
Practice Address - Country:US
Practice Address - Phone:878-395-7757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home