Provider Demographics
NPI:1093998197
Name:MED PRO HOME HEALTH SERVICE INC
Entity Type:Organization
Organization Name:MED PRO HOME HEALTH SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUHEYL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ-PILOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-303-4152
Mailing Address - Street 1:12905 SW 42ND ST
Mailing Address - Street 2:109
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-2910
Mailing Address - Country:US
Mailing Address - Phone:305-303-4152
Mailing Address - Fax:305-480-3995
Practice Address - Street 1:12905 SW 42ND ST
Practice Address - Street 2:109
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-2910
Practice Address - Country:US
Practice Address - Phone:305-303-4152
Practice Address - Fax:305-480-3995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health