Healthcare Provider Details

I. General information

NPI: 1649797408
Provider Name (Legal Business Name): PRO-RESPIRATORY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2017
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8731 SW 192ND TER
CUTLER BAY FL
33157-8954
US

IV. Provider business mailing address

8731 SW 192ND TER
CUTLER BAY FL
33157-8954
US

V. Phone/Fax

Practice location:
  • Phone: 786-389-8813
  • Fax: 305-723-2777
Mailing address:
  • Phone: 786-389-8813
  • Fax: 305-723-2777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2279E1000X
TaxonomyEducational Registered Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2279P3900X
TaxonomyNeonatal/Pediatric Registered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ADELKIS PEREIRA
Title or Position: OWNER
Credential: RRT
Phone: 786-389-8813