Provider Demographics
NPI:1053417634
Name:PROFESSIONAL HEALTH CARE, INC.
Entity type:Organization
Organization Name:PROFESSIONAL HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:VILLAVERDE
Authorized Official - Last Name:ZAYAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-260-9177
Mailing Address - Street 1:3900 NW 79TH AVE
Mailing Address - Street 2:SUITE 631
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6556
Mailing Address - Country:US
Mailing Address - Phone:305-542-6813
Mailing Address - Fax:305-260-9872
Practice Address - Street 1:3900 NW 79TH AVE
Practice Address - Street 2:SUITE 631
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6556
Practice Address - Country:US
Practice Address - Phone:305-542-6813
Practice Address - Fax:305-260-9872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health