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NPI Code Detail

MEDICARE: LUIS CLEMENTE ARCAY MONTAGNE MD

MEDICARE: LUIS CLEMENTE ARCAY MONTAGNE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2014029653MO
2207RI0011XInterventional Cardiology PhysicianME167310FL
3390200000XStudent in an Organized Health Care Education/Training Program15389FL

General Provider Information

NPI Number : 1225346802
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS CLEMENTE ARCAY MONTAGNE MD
Provider Business Mailing Address
First Line : 7593 W BOYNTON BEACH BLVD STE 220
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-6162
Country : US
Telephone Number : 561-649-7000
Fax Number : 561-964-4603
Provider Business Practice Location Address
First Line : 5401 S CONGRESS AVE STE 102
Second Line :
City : ATLANTIS
State : FL
Zip : 33462-6636
Country : US
Telephone Number : 561-967-5033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2010
Last Update Date : 04/24/2024

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Directions to “ LUIS CLEMENTE ARCAY MONTAGNE MD” Practice Location

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