MEDICARE: MON ORTHOPEDIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598705006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MON ORTHOPEDIC INC

Provider Business Mailing Address
First Line	:	4258 W 12 AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3325
Country	:	US
Telephone Number	:	305-821-6181
Fax Number	:	305-835-0013

Provider Business Practice Location Address
First Line	:	4258 W 12 AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3325
Country	:	US
Telephone Number	:	305-821-6181
Fax Number	:	305-835-0013

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OLGA L QUIRANTES
Credential	:
Telephone Number	:	305-835-8600

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	01/23/2025

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