Pro Hospital Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRO HOSPITAL GROUP, LLC

Practice address

777 E 25TH St Ste 509
Hialeah, FL 33013-3834

Phone

(305) 420-5016

Fax

(786) 452-9901

NPI assigned

Feb 10, 2020

Last updated

Jul 19, 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

Heriberto Fernandez, MDNPI 1598087520

Title

Owner

Phone

(786) 222-1334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

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.

• Heriberto Fernandez, MD

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1598087520
  Medicare reassignment NPD Authorized official
• Florangel Guasch

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1376197152

  Single Specialty

  Medicare reassignment NPD
• Maria Ofelia Mirabal, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
  • NPI 1073240032
  Medicare reassignment NPD
• Maytek Ramos, ARNP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1174073142
  Medicare reassignment NPD
• Franklin Ruiz Sanchez

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1083220594
  Medicare reassignment NPD
• Ariadna Amestoy

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1144863390
  NPD

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1619509478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 509",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133834",
            "telephone_number": "305-420-5016",
            "fax_number": "786-452-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 509",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133834",
            "telephone_number": "305-420-5016",
            "fax_number": "786-452-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HOSPITAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "HERIBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-222-1334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PRN Rehabilitation Center Inc.
• Pro Community Services Corp
• Pro Dental Centers West Hialeah
• Pro Health Acupuncture
• Pro Health Care Services
• Pro Med Care Service LLC
• Pro-Technology and Performing Arts Center, Inc
• Proactive Health Corp
• Proactive Health Corp
• Proactively Health Corp

• Internal Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.