MEDICARE: MED PRO HOME HEALTH SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1093998197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED PRO HOME HEALTH SERVICE INC

Provider Business Mailing Address
First Line	:	12905 SW 42ND ST
Second Line	:	109
City	:	MIAMI
State	:	FL
Zip	:	33175-2910
Country	:	US
Telephone Number	:	305-303-4152
Fax Number	:	305-480-3995

Provider Business Practice Location Address
First Line	:	12905 SW 42ND ST
Second Line	:	109
City	:	MIAMI
State	:	FL
Zip	:	33175-2910
Country	:	US
Telephone Number	:	305-303-4152
Fax Number	:	305-480-3995

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUHEYL HERNANDEZ-PILOTO
Credential	:
Telephone Number	:	305-303-4152

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	06/30/2008

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Directions to “MED PRO HOME HEALTH SERVICE INC ” Practice Location

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