Active NPI
Pro Health Medical Centers LLC
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1790730893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRO HEALTH MEDICAL CENTERS LLC
- Practice address
- 1330 SW 22ND St
Suite 409
Miami, FL 33145-2929 - Phone
- (305) 856-0884
- Fax
- (305) 856-0889
- NPI assigned
- May 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karel B Arrechea
- Title
- Manager
- Phone
- (305) 856-0884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1330 SW 22ND St
Suite 409
Miami, FL 33145-2929
Mailing address
1330 SW 22ND St
Suite 409
Miami, FL 33145-2929
Phone (305) 856-0884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MM 15565 | Other | FL | MASSAGE ESTABLISHMENT |
| HCC5775 | Other | FL | HEALTH CARE CLINIC |
National Provider Directory
National Provider DirectoryLocations
1330 SW 22nd St
Ste 409
Miami, FL 33145
Phone (305) 856-0884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790730893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 SW 22ND ST",
"address_2": "SUITE 409",
"city": "MIAMI",
"state": "FL",
"postal_code": "331452929",
"telephone_number": "305-856-0884",
"fax_number": "305-856-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 SW 22ND ST",
"address_2": "SUITE 409",
"city": "MIAMI",
"state": "FL",
"postal_code": "331452929",
"telephone_number": "305-856-0884",
"fax_number": "305-856-0889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO HEALTH MEDICAL CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ARRECHEA",
"authorized_official_first_name": "KAREL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "305-856-0884"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE ESTABLISHMENT",
"identifier": "MM 15565",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CARE CLINIC",
"identifier": "HCC5775",
"state": "FL"
}
],
"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.