Organization Active NPI

Prohealth Clinical Research LLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1346097904
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on May 2, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.