Pro Life Medical Center Corp.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRO LIFE MEDICAL CENTER CORP.

Practice address

7925 NW 12TH St Ste 315
Doral, FL 33126-1846

Phone

(305) 965-1525

NPI assigned

Feb 12, 2021

Organization subpart

No

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

Authorized official

Name

Manuel Jose Amigo Guillen

Title

Owner

Phone

(305) 965-1525

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Nirmal Jay Joseph, M.D.

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1790760643
  NPD

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1467045252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 NW 12TH ST STE 315",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261846",
            "telephone_number": "305-965-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 NW 12TH ST STE 315",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261846",
            "telephone_number": "305-965-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO LIFE MEDICAL CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "AMIGO GUILLEN",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-965-1525"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Doral, FL
• Providers in Doral, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.