Prohealth Diagnostic Service Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PROHEALTH DIAGNOSTIC SERVICE CORP

Practice address

601 SW 57TH Ave Ste B
Miami, FL 33144-3974

Phone

(305) 833-8278

Fax

(305) 402-4620

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Fabienne Perez

Title

Owner

Phone

(305) 833-8278

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1992378699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SW 57TH AVE STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443974",
            "telephone_number": "305-833-8278",
            "fax_number": "305-402-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SW 57TH AVE STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443974",
            "telephone_number": "305-833-8278",
            "fax_number": "305-402-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH DIAGNOSTIC SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "FABIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-833-8278"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Physical Therapy Center Inc
• Progressive Rehabilitation & Orthopedic Services, Inc.
• Progressive Tasks Inc
• Prohealth Clinical Research LLC
• Prohealth Continuous Care Corp
• Prohealth Medical Group Inc.
• Prohealth Pharmacy
• Prohealth Therapeutic Services, LLC
• Jeanmarys Prohenza Betancourt, DMD
• Kimberly Michelle Prohias

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.