Active NPI
Prohealth Clinical Research LLC
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1346097904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PROHEALTH CLINICAL RESEARCH LLC
- Practice address
- 12600 SW 120TH St Ste 107
Miami, FL 33186-9115 - Phone
- (305) 686-3998
- Fax
- (786) 920-0948
- NPI assigned
- May 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ricardo Presas Sr., MD
- Title
- Medical Director
- Phone
- (305) 298-3488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
12600 SW 120TH St Ste 107
Miami, FL 33186-9115
Mailing address
12600 SW 120TH St Ste 107
Miami, FL 33186-9115
Phone (305) 686-3998
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1346097904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12600 SW 120TH ST STE 107",
"city": "MIAMI",
"state": "FL",
"postal_code": "331869115",
"telephone_number": "305-686-3998",
"fax_number": "786-920-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12600 SW 120TH ST STE 107",
"city": "MIAMI",
"state": "FL",
"postal_code": "331869115",
"telephone_number": "305-686-3998",
"fax_number": "786-920-0948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROHEALTH CLINICAL RESEARCH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-01",
"status": "A",
"authorized_official_last_name": "PRESAS",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "305-298-3488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Progressive Medical Supply, Inc.
- Progressive Mental Health Clinic Corp
- Progressive Physical Therapy Center Inc
- Progressive Rehabilitation & Orthopedic Services, Inc.
- Progressive Tasks Inc
- Prohealth Continuous Care Corp
- Prohealth Diagnostic Service Corp
- Prohealth Medical Group Inc.
- Prohealth Pharmacy
- Prohealth Therapeutic Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.