Provider Demographics
NPI:1609686104
Name:PRO HEALTH EXPRESS LLC.
Entity type:Organization
Organization Name:PRO HEALTH EXPRESS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:HIDALGO-GATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-356-1967
Mailing Address - Street 1:450 N PARK RD STE 601
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6936
Mailing Address - Country:US
Mailing Address - Phone:754-888-9271
Mailing Address - Fax:
Practice Address - Street 1:450 N PARK RD STE 601
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6936
Practice Address - Country:US
Practice Address - Phone:754-888-9271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies