Healthcare Provider Details

I. General information

NPI: 1114863099
Provider Name (Legal Business Name): EMERITO MONTES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 WARD AVE APT B
EASTHAMPTON MA
01027-2237
US

IV. Provider business mailing address

31 WARD AVE APT B
EASTHAMPTON MA
01027-2237
US

V. Phone/Fax

Practice location:
  • Phone: 413-239-2067
  • Fax:
Mailing address:
  • Phone: 413-239-2067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberS82437236
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: