| Pro Hospital Group, Llc | |
|
777 E 25th St Ste 509 Hialeah FL 33013-3834 | |
| (305) 420-5016 | |
| (786) 452-9901 |
| Full Name | Pro Hospital Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 777 E 25th St Ste 509, Hialeah, Florida |
| Authorized Official Name and Position | Heriberto Fernandez (OWNER) |
| Authorized Official Contact | 7862221334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Hospital Group, Llc 777 E 25th St Ste 509 Hialeah FL 33013-3834 Ph: (305) 420-5016 | Pro Hospital Group, Llc 777 E 25th St Ste 509 Hialeah FL 33013-3834 Ph: (305) 420-5016 |
| NPI Number | 1619509478 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 07/19/2024 |
| Medicare PECOS PAC ID | 9133666134 |
|---|---|
| Medicare Enrollment ID | O20240808001673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619509478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Heriberto Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598087520 PECOS PAC ID: 0143480020 Enrollment ID: I20120330000230 |
| Provider Name | Maria Mirabal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073240032 PECOS PAC ID: 1153797691 Enrollment ID: I20221025000528 |
| Provider Name | Franklin Ruiz Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083220594 PECOS PAC ID: 7113463274 Enrollment ID: I20240724004642 |
| Provider Name | Yosleidy Perez Minguet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972214195 PECOS PAC ID: 7315485976 Enrollment ID: I20240819004228 |
| Provider Name | Florangel Guasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376197152 PECOS PAC ID: 6608307707 Enrollment ID: I20240930003948 |
| Provider Name | Maytek Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174073142 PECOS PAC ID: 8123559127 Enrollment ID: I20241001004001 |
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