Jesus Montesano Md Pa

LBN: Jesus Montesano Md Llc
Jesus Montesano Md Pa is an health care organization with primary practice located at 664 E 25Th St Suite 101, Hialeah FL 33013-3805. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Jesus Montesano Md Llc can be contacted via phone (305) 835-7625, or through De Vera, Joseph N via phone (786) 200-8305.

Contact Information

Primary practice address
664 E 25Th St Suite 101 Hialeah FL 33013-3805
Phone: (305) 835-7625
Fax: (305) 835-0550
Website:
Map and Directions
Authorized official contact:
Name: De Vera, Joseph N
Phone: (786) 200-8305

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X ME 57047 Florida

Profile Details

NPI number 1043563513
LBN Legal business name Jesus Montesano Md Llc
DBA Doing business as Jesus Montesano Md Pa
Authorized official De Vera, Joseph N
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2012
Last updated May 8th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043563513 NPPES
Florida MEDICAID 064494300

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