Organization Active NPI

Pro Med Care Service LLC

  • Primary Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1346125366
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRO MED CARE SERVICE LLC
Practice address
3750 W 16TH Ave Ste 242Au
Hialeah, FL 33012-4664
Phone
(786) 537-2318
NPI assigned
Aug 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Reinaldo Santana Gonzalez
Title
Authorized Official
Phone
(786) 955-3842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3750 W 16TH Ave Ste 242Au
Hialeah, FL 33012-4664

Mailing address

3750 W 16TH Ave Ste 242Au
Hialeah, FL 33012-4664
Phone (786) 537-2318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250926002744 FL Part B Supplier - Clinic/Group Practice 9032614292 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1346125366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 242AU",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124664",
            "telephone_number": "786-537-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 242AU",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124664",
            "telephone_number": "786-537-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "SANTANA GONZALEZ",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-955-3842"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.