Provider Demographics
NPI:1346097904
Name:PROHEALTH CLINICAL RESEARCH LLC
Entity type:Organization
Organization Name:PROHEALTH CLINICAL RESEARCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESAS
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:305-298-3488
Mailing Address - Street 1:12600 SW 120TH ST STE 107
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-9115
Mailing Address - Country:US
Mailing Address - Phone:305-686-3998
Mailing Address - Fax:786-920-0948
Practice Address - Street 1:12600 SW 120TH ST STE 107
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-9115
Practice Address - Country:US
Practice Address - Phone:305-686-3998
Practice Address - Fax:786-920-0948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty