Provision Health Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HHC 8276 Issued in FL

Legal business name

PROVISION HEALTH INC.

Practice address

6916 NW 72ND Ave
Miami, FL 33166-3036

Phone

(305) 889-0188

NPI assigned

Mar 22, 2010

Organization subpart

No

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

Authorized official

Name

Juan Carlos PerezNPI 1811211683

Title

President

Phone

(305) 889-0188

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Carlos Perez, MA

  • Massage Therapist
  • Miami Lakes, FL
  • NPI 1811211683

  Clinic/Center

  NPD (past) Authorized official

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1285958058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6916 NW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331663036",
            "telephone_number": "305-889-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 NW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331663036",
            "telephone_number": "305-889-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-889-0188"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HHC 8276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC",
            "identifier": "HHC 8276",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providence Medical Center Inc
• Providence Professional Services Group Inc
• Providence Services Group Inc
• Provider Operation Consulting Firm LLC
• Providers Solutions Corp
• Proxicare, Inc
• Proxy Medical Inc.
• Jeffersonie Prudent, PHARM. D.
• Yvette Prudent, ARNP
• Prudential Care Group, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.