Prohealth Medical Group Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PROHEALTH MEDICAL GROUP INC.

Practice address

175 Fontainebleau Blvd Ste 2K2
Miami, FL 33172-7014

Phone

(407) 914-7189

Fax

(786) 334-6140

NPI assigned

Apr 29, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Juan R Afonso Manso

Title

President

Phone

(407) 914-7189

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1164086815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 2K2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727014",
            "telephone_number": "786-334-6094",
            "fax_number": "786-334-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 2K2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727014",
            "telephone_number": "407-914-7189",
            "fax_number": "786-334-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "AFONSO MANSO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-914-7189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Rehabilitation & Orthopedic Services, Inc.
• Progressive Tasks Inc
• Prohealth Clinical Research LLC
• Prohealth Continuous Care Corp
• Prohealth Diagnostic Service Corp
• Prohealth Pharmacy
• Prohealth Therapeutic Services, LLC
• Jeanmarys Prohenza Betancourt, DMD
• Kimberly Michelle Prohias
• Project Access Foundation

• Health Service Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.