MEDICARE: PRO-RESPIRATORY THERAPY INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2279E1000X	Educational Registered Respiratory Therapist
2	2279H0200X	Home Health Registered Respiratory Therapist
3	2279P1005X	Pulmonary Rehabilitation Registered Respiratory Therapist
4	2279P3900X	Neonatal/Pediatric Registered Respiratory Therapist
5	227900000X	Registered Respiratory Therapist
6	2279G1100X	General Care Registered Respiratory Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649797408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRO-RESPIRATORY THERAPY INC

Provider Business Mailing Address
First Line	:	8731 SW 192ND TER
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-8954
Country	:	US
Telephone Number	:	786-389-8813
Fax Number	:	305-723-2777

Provider Business Practice Location Address
First Line	:	8731 SW 192ND TER
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-8954
Country	:	US
Telephone Number	:	786-389-8813
Fax Number	:	305-723-2777

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ADELKIS PEREIRA
Credential	:	RRT
Telephone Number	:	786-389-8813

Provider Enumeration Date	:	08/23/2017
Last Update Date	:	06/05/2025

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1861335804 — PROFESSIONAL PHARMACY SERVICES AND DME INC.
Practice Location Address:

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Directions to “PRO-RESPIRATORY THERAPY INC ” Practice Location

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