NPI Code Details Logo

NPI 1912745209

NPI 1912745209 : MONTURA HEALTH LLC : CLEWISTON, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1912745209
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MONTURA HEALTH LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/19/2024
-----------------------------------------------------
    Last Update Date     |    11/07/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8360 COUNTRY ROAD 833 
-----------------------------------------------------
    City                 |    CLEWISTON
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33440
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    786-629-9050
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8360 COUNTRY ROAD 833 
-----------------------------------------------------
    City                 |    CLEWISTON
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33440
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     YAMILE  RIVERO 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    786-287-1048
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.