Healthcare Provider Details

I. General information

NPI: 1013824556
Provider Name (Legal Business Name): FROMONTES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8415 SW 107TH AVE APT 144W
MIAMI FL
33173-4376
US

IV. Provider business mailing address

8415 SW 107TH AVE APT 144W
MIAMI FL
33173-4376
US

V. Phone/Fax

Practice location:
  • Phone: 786-873-1306
  • Fax:
Mailing address:
  • Phone: 786-873-1306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: IRALDO FROMETA MOLINA
Title or Position: PRESIDENT
Credential: APRN FNP-C
Phone: 786-873-1306