Professional Medical Research LLC

Primary specialty

Research Clinic/CenterTaxonomy code 261QR1100X

Legal business name

PROFESSIONAL MEDICAL RESEARCH LLC

Doing business as

Blue Pearl Wellness

Practice address

4101 Ravenswood Rd Ste 202
Fort Lauderdale, FL 33312-5301

Phone

(954) 251-3454

Fax

(954) 251-3474

NPI assigned

Apr 1, 2022

Last updated

May 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ariadna Gonzalez

Title

Officer

Phone

(954) 251-3454

Specialties & licenses 2

Addresses

Other names 1

• BLUE PEARL WELLNESS Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEBAED

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yenislen Gutierrez Vergel, APRN

  • Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1356919773
  Medicare reassignment Care Compare group NPD
• Noelvis Santana Estevez

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1528686904
  Medicare reassignment Care Compare group NPD
• Santiago A Cardenas, MD

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1245238203
  Medicare reassignment Care Compare group
• Jessica Marie Chuy, FNP

  • Family Nurse Practitioner
  • Hollywood, FL
  • NPI 1649938051
  Medicare reassignment NPD
• Leticia Mas, APRN

  • General Practice Physician
  • Miami Gardens, FL
  • NPI 1144996448
  Medicare reassignment NPD
• Julio Cesar Reyes-Gavilan, M.D.

  • General Practice Physician
  • Doral, FL
  • NPI 1487827242
  Medicare reassignment NPD
• Rafael E Segura Herrera

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1982251070
  Medicare reassignment
• Ariadna Gonzalez Bermudez

  • Clinical Social Worker
  • Hialeah, FL
  • NPI 1013419183
  NPD

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1407596810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 RAVENSWOOD RD STE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125301",
            "telephone_number": "954-251-3454",
            "fax_number": "954-251-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 RAVENSWOOD RD STE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125301",
            "telephone_number": "954-251-3454",
            "fax_number": "954-251-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ARIADNA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "954-251-3454"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE PEARL WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Nicole Procacci, PH.D.
• Procare Mobility Sol Inc
• Procare Rehab and Wellness Inc.
• Procomp Pharmacy, LLC
• Prodoctors Medical PLLC
• Professional Pain Management Clinic Inc
• Professionals Trust Inc.
• Progressive Medical Equipment Supply Corporation
• Prohealth Chiropractic & Injury Center Corp.
• Prolence Medical Supplies & Equipments LLC

• Research Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Research Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.