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NPI Code Detail

MEDICARE: DANIEL RAFAEL MONTESINOS AREVALO MD

MEDICARE: DANIEL RAFAEL MONTESINOS AREVALO 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1326980632
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL RAFAEL MONTESINOS AREVALO MD
Provider Business Mailing Address
First Line : 10 NW 139TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33168-4818
Country : US
Telephone Number : 786-486-5215
Fax Number :
Provider Business Practice Location Address
First Line : 1475 W 49TH PL
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3113
Country : US
Telephone Number : 305-284-7774
Fax Number : 305-284-7787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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