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JESUS MONTESANO MD PA
NPI 1043563513
Clinic/Center - Medical Specialty in Hialeah, FL

Active since October 22, 2012
664 E 25TH ST, SUITE 101, HIALEAH, FL 33013(305) 835-7625(305) 835-0550 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 8, 2023, Feb 16, 2022 (2 updates tracked since 2022).

About Jesus Montesano Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESUS MONTESANO MD PA (NPI 1043563513) is a healthcare organization registered as a medical specialty in Hialeah, Florida and active in the NPI registry since October 2012. The organization lists Joseph N De Vera, Ra, as its authorized official.

NPPES Registry Identity

NPI1043563513
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameJESUS MONTESANO MD LLC
Location Address664 E 25TH ST, SUITE 101Hialeah, FL 33013-3805
Mailing Address1000 Nw 57th Ct Ste 400Miami, FL 33126-3292 · (305) 649-8100 · Fax (305) 835-0550
Phone(305) 835-7625
Fax(305) 835-0550
Organization SubpartNo
Authorized OfficialJoseph N De VeraRa · (786) 200-8305
Enumeration DateOctober 22, 2012
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1043563513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in FL · ME 57047
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
664 E 25TH ST, Hialeah, FL 33013
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Other Names 1

Doing Business AsJesus Montesano Md Pa

Other Identifiers 1

Medicaid064494300FL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIMENSIONAL DIAGNOSTIC IMAGING
Clinic/Center (Health Service)
664 E 25TH ST, SUITE 102
HIALEAH, FL 33013
Miami-Dade County (305) 836-1081
DIMENSIONAL DIAGNOSTIC IMAGING OF MIAMI LLC
Clinic/Center
664 E 25TH ST, SUITE 103
HIALEAH, FL 33013
Miami-Dade County (305) 608-5549
APPLE HEALTH CARE SERVICES LLC
Home Health
664 E 25TH ST, SUITE 103
HIALEAH, FL 33013
Miami-Dade County (305) 693-8480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesus Montesano MD LLC's NPI number?

The NPI number for Jesus Montesano MD LLC is 1043563513. It was assigned to this organization in the NPPES registry on October 22, 2012. The provider is doing business as Jesus Montesano MD PA.

Where is Jesus Montesano MD LLC located?

Jesus Montesano MD LLC is located at 664 E 25th St Suite 101, Hialeah, FL 33013. The listed phone number is (305) 835-7625.

What is Jesus Montesano MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Jesus Montesano MD LLC was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.