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General NPI Number Information
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NPI Number | 1457668055
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Entity Type | Organization
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Legal Business Name | LUIS F MONTANO MD PA
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 5871 SW 13TH ST
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City | WEST MIAMI
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State | FL
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Zip | 33144-5703
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Country | US
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Telephone | 305-267-0333
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Fax | 305-264-5494
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Provider Business Mailing Address
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Address Line | PO BOX 144943
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City | CORAL GABLES
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State | FL
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Zip | 33114-4943
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Country | US
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Telephone | 305-267-0333
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Fax | 305-264-5494
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUIS F MONTANO
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Credential | MD
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Telephone | 305-267-0333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME60057
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License Number State | FL
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