Altius Management Services Llc | |
14221 Sw 120th St Ste 129a Miami FL 33186-7463 | |
(305) 988-5000 | |
Not Available |
Full Name | Altius Management Services Llc |
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Speciality | Internal Medicine |
Location | 14221 Sw 120th St Ste 129a, Miami, Florida |
Authorized Official Name and Position | Luis O Monteagudo (PRESIDENT) |
Authorized Official Contact | 3059885000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Altius Management Services Llc 14221 Sw 120th St Ste 101 Miami FL 33186-7291 Ph: (305) 988-5000 | Altius Management Services Llc 14221 Sw 120th St Ste 129a Miami FL 33186-7463 Ph: (305) 988-5000 |
NPI Number | 1255935706 |
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Provider Enumeration Date | 11/25/2020 |
Last Update Date | 08/29/2024 |
Medicare PECOS PAC ID | 8022492800 |
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Medicare Enrollment ID | O20220827000424 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255935706 | NPI | - | NPPES |
Provider Name | Alian Hernandez Lopez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1710333596 PECOS PAC ID: 1355778184 Enrollment ID: I20220827000475 |
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