Pro-Cura LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PRO-CURA LLC

Practice address

17900 Gulf Blvd Apt 17C
Redington Shores, FL 33708-1101

Phone

(813) 451-8646

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Luis F Ycaza, OS7473NPI 1366480311

Title

Mnger

Phone

(813) 451-8646

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Luis F Ycaza, D.O.

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1366480311

  FL, Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1750123923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 GULF BLVD APT 17C",
            "city": "REDINGTON SHORES",
            "state": "FL",
            "postal_code": "337081101",
            "telephone_number": "813-451-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 GULF BLVD APT 17C",
            "city": "REDINGTON SHORES",
            "state": "FL",
            "postal_code": "337081101",
            "telephone_number": "813-451-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-CURA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "YCAZA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MNGER",
        "authorized_official_telephone_number": "813-451-8646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OS7473"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Summer Green, PHARMD
• Joseph Haley
• Crystal Marie Herring, LMSW, LCSW
• Lian S Chang MD. LLC
• Dorothy Nattiel, CCC-SLP
• Laura Sanders-Schmidt
• Elizabeth Wedman-St. Louis, PHD

• Health Service Clinic/Center in Redington Shores, FL
• Providers in Redington Shores, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.