MEDICARE: HEAL PRO MEDICAL LLC

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	208D00000X	General Practice Physician
2	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1255105102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAL PRO MEDICAL LLC

Provider Business Mailing Address
First Line	:	6777 NW 7TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-4100
Country	:	US
Telephone Number	:	786-697-1623
Fax Number	:	786-697-1624

Provider Business Practice Location Address
First Line	:	6777 NW 7TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-4100
Country	:	US
Telephone Number	:	786-697-1623
Fax Number	:	786-697-1624

Authorized Official
Title or Position	:	OWNER
Name	:	RICARDO ALVAREZ HERNANDEZ
Credential	:
Telephone Number	:	786-931-4679

Provider Enumeration Date	:	11/10/2023
Last Update Date	:	11/25/2025

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Directions to “HEAL PRO MEDICAL LLC ” Practice Location

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