Pro-Elite Management Services Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRO-ELITE MANAGEMENT SERVICES CORP

Practice address

21685 Kingsland Blvd
Katy, TX 77450-2512

Phone

(346) 594-2104

Fax

(346) 594-2103

NPI assigned

Dec 11, 2024

Last updated

Dec 11, 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

Dr. Jose Rivas, MDNPI 1952588188

Title

Medical Director

Phone

(941) 779-4870

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Jose Emiliano Rivas, M.D.

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1952588188
  Authorized official Same address or phone
• Ehrentraud Johanna Eichelbaum, M.D.

  • General Practice Physician
  • Katy, TX
  • NPI 1255518486
  NPD

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1922814250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21685 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502512",
            "telephone_number": "346-594-2104",
            "fax_number": "346-594-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21685 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502512",
            "telephone_number": "346-594-2104",
            "fax_number": "346-594-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-ELITE MANAGEMENT SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-779-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.