Healthcare Provider Details

I. General information

NPI: 1487572475
Provider Name (Legal Business Name): MONTESOL MEDICAL CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1583 N MILITARY TRL STE A
WEST PALM BEACH FL
33409-4709
US

IV. Provider business mailing address

1583 N MILITARY TRL STE A
WEST PALM BEACH FL
33409-4709
US

V. Phone/Fax

Practice location:
  • Phone: 561-363-3151
  • Fax: 888-720-4595
Mailing address:
  • Phone: 561-363-3151
  • Fax: 888-720-4595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LIDICE LEYVA
Title or Position: OWNER
Credential:
Phone: 561-403-9622