Healthcare Provider Details

I. General information

NPI: 1497718571
Provider Name (Legal Business Name): HARRIS H MONES D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 S DOUGLAS RD SUITE 502
CORAL GABLES FL
33133-2754
US

IV. Provider business mailing address

2645 S DOUGLAS RD SUITE 502
CORAL GABLES FL
33133-2754
US

V. Phone/Fax

Practice location:
  • Phone: 305-448-8942
  • Fax: 305-445-2691
Mailing address:
  • Phone: 305-448-8942
  • Fax: 305-445-2691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberOS4172
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: