| Montepuente | |
|
2440 Coral Way Coral Gables FL 33145-3410 | |
| (646) 470-3676 | |
| Not Available |
| Full Name | Montepuente |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2440 Coral Way, Coral Gables, Florida |
| Authorized Official Name and Position | Susana Maria Montesinos (OWNER) |
| Authorized Official Contact | 6464703676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montepuente 2440 Coral Way Coral Gables FL 33145-3410 Ph: (646) 470-3676 | Montepuente 2440 Coral Way Coral Gables FL 33145-3410 Ph: (646) 470-3676 |
| NPI Number | 1235746223 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235746223 | NPI | - | NPPES |
| 05330281 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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