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NPI Code Detail

MEDICARE: JOSE ALEJANDRO DE LA TORRE MONTALVO

MEDICARE:   JOSE ALEJANDRO DE LA TORRE MONTALVO
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
1106S00000XBehavior TechnicianRBT-24-395864FL

General Provider Information

NPI Number : 1871304741
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE ALEJANDRO DE LA TORRE MONTALVO
Provider Business Mailing Address
First Line : 2760 W 76TH ST APT 106
Second Line :
City : HIALEAH
State : FL
Zip : 33016-5619
Country : US
Telephone Number : 786-853-9520
Fax Number :
Provider Business Practice Location Address
First Line : 2760 W 76TH ST APT 106
Second Line :
City : HIALEAH
State : FL
Zip : 33016-5619
Country : US
Telephone Number : 786-853-9520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2025
Last Update Date : 01/18/2025

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Directions to “ JOSE ALEJANDRO DE LA TORRE MONTALVO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.