Organization Active NPI

Professional Health Center Corp

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1770794174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
HCC5190 Issued in FL
Legal business name
PROFESSIONAL HEALTH CENTER CORP
Practice address
5600 SW 135TH Ave
Ste 201 203
Miami, FL 33183-5182
Phone
(305) 385-3939
Fax
(305) 385-3466
NPI assigned
May 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria S Manfoud Sanchez
Title
President
Phone
(305) 385-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X HCC5190 FL Primary

Addresses

Primary practice location

5600 SW 135TH Ave
Ste 201 203
Miami, FL 33183-5182

Mailing address

5600 SW 135TH Ave
Ste 201 203
Miami, FL 33183-5182
Phone (305) 385-3939

National Provider Directory

National Provider Directory

Locations

5600 SW 135th Ave
Ste 201
Miami, FL 33183
Phone (305) 382-1818

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770794174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SW 135TH AVE",
            "address_2": "STE 201 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835182",
            "telephone_number": "305-385-3939",
            "fax_number": "305-385-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 SW 135TH AVE",
            "address_2": "STE 201 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835182",
            "telephone_number": "305-385-3939",
            "fax_number": "305-385-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANFOUD SANCHEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-385-3939"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC5190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.