PROACTIVE HEALTH CORP NPI 1316510506

NPI Information

  • NPI: 1316510506
  • Provider Name: PROACTIVE HEALTH CORP
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1982 E 4TH AVE
    HIALEAH, FL
    ZIP 33010
  • Phone: (786) 409-3231

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NPI Details

PROACTIVE HEALTH CORP is a clinic center in Hialeah, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROACTIVE HEALTH CORP NPI is 1316510506. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1982 E 4TH AVE
HIALEAH, FL
ZIP 33010-714
Phone: (786) 409-3231

The provider's authorized official is Liuva Cruz Duque .
The authorized official title is Authorized Official and has the following contact phone number (786) 389-7598.

The enumeration date for this NPI number is 7/23/2021 and was last updated on 10/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistNo
2225X00000XOccupational TherapistNo
3225100000XPhysical TherapistNo
4261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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