MEDICARE: MONTE NIDO ARISE HEALTH MEDICAL, PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	133V00000X	Registered Dietitian
2	1041C0700X	Clinical Social Worker
3	175T00000X	Peer Specialist
4	2084P0800X	Psychiatry Physician
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1831064641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTE NIDO ARISE HEALTH MEDICAL, PA

Provider Business Mailing Address
First Line	:	6100 SW 76TH ST
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 SW 76TH ST
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5002
Country	:	US
Telephone Number	:	855-932-7473
Fax Number	:

Authorized Official
Title or Position	:	CONTRACT ADMINISTRATOR
Name	:	ALICIA DARVILLE
Credential	:
Telephone Number	:	855-932-7473

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	01/14/2026

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