Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Prohealth Medical Managment Group, LLC

Organization Family Medicine Physician · NPI 1386563179

Prohealth Medical Managment Group, LLC provides Family Medicine Physician services in Colorado Springs, Colorado. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6530 S Academy Blvd
Colorado Springs, CO 80906-8635
Phone: (719) 251-0241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1386563179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Medina — Owner · (719) 251-0241
NPI enumeratedJuly 14, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address2226 Hillside Rd, Pueblo, CO 81006-1831

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