Provider Demographics
NPI:1134370299
Name:PRO-MED HEALTH SOLUTIONS, INC.
Entity type:Organization
Organization Name:PRO-MED HEALTH SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHEA
Authorized Official - Middle Name:PLANES
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-388-8116
Mailing Address - Street 1:14341 SW 120TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7032
Mailing Address - Country:US
Mailing Address - Phone:305-388-8116
Mailing Address - Fax:305-388-8117
Practice Address - Street 1:14341 SW 120TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7032
Practice Address - Country:US
Practice Address - Phone:305-388-8116
Practice Address - Fax:305-388-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6170640001Medicare NSC