# PROSPER MEDICAL OFFICE CORP.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396585774
- **Authorized official:** MR. RUBEN GONZALEZ PTA (PRESIDENT)
- **Authorized official phone:** (305) 457-0444

## Contact information

- **Practice address:** 1150 NW 72ND AVE STE 377, MIAMI, FL 33126-1920
- **Practice address phone:** (305) 457-0444
- **Mailing address:** 1150 NW 72ND AVE STE 377, MIAMI, FL 33126-1920
- **Mailing address phone:** (305) 457-0444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/31/2024
- **Last updated:** 08/14/2024