Healthcare Provider Details

I. General information

NPI: 1831064641
Provider Name (Legal Business Name): MONTE NIDO ARISE HEALTH MEDICAL, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 SW 76TH ST
SOUTH MIAMI FL
33143-5002
US

IV. Provider business mailing address

6100 SW 76TH ST
SOUTH MIAMI FL
33143-5002
US

V. Phone/Fax

Practice location:
  • Phone: 855-932-7473
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ALICIA DARVILLE
Title or Position: CONTRACT ADMINISTRATOR
Credential:
Phone: 855-932-7473