MEDICARE: MR. MILTON MONTES DE OCA MA CMHC

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	101YM0800X	Mental Health Counselor	IMH25112	FL

General Provider Information

NPI Number	:	1851161863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MILTON MONTES DE OCA MA CMHC

Provider Business Mailing Address
First Line	:	3020 NE 41ST TER # 223
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33033-6619
Country	:	US
Telephone Number	:	786-768-5247
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 NE 62ND ST # 406
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33334-3560
Country	:	US
Telephone Number	:	786-768-5247
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2024
Last Update Date	:	01/02/2024

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