Organization Active NPI

Pro Health Medical Centers LLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1790730893
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

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
Karel B Arrechea
Title
Manager
Phone
(305) 856-0884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
MM 15565OtherFLMASSAGE ESTABLISHMENT
HCC5775OtherFLHEALTH CARE CLINIC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.