LUIS O MONTEAGUDO PA
NPI 1083272959
Physician Assistant - Medical in Miami, FL

Q: What is Luis Monteagudo's NPI number?

The NPI number for Luis Monteagudo is 1083272959. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Q: What is Luis Monteagudo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Luis Monteagudo was last updated on May 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since June 05, 2019PECOS Enrolled

14221 SW 120TH ST STE 129, MIAMI, FL 33186(305) 988-5000 Get Directions Write a Review

NPPES record last updated: May 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2025, Jun 5, 2019 (2 updates tracked since 2019).

On this page

About Luis O Monteagudo Pa NPPES

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

LUIS O MONTEAGUDO PA (NPI 1083272959) is an individual medical provider in Miami, Florida, licensed in Florida (PACN39) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1083272959

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameLUIS O MONTEAGUDOCredential: PA

Location Address14221 SW 120TH ST STE 129Miami, FL 33186-7463

Mailing Address14221 Sw 120th St Ste 129Miami, FL 33186-7463 · (305) 988-5000

Phone(305) 988-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJune 5, 2019

Last NPPES UpdateMay 10, 20252 updates tracked since enumeration

NPPES CertifiedMay 10, 2025

✔ NPI 1083272959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in FL · PACN39✔ Licensed in PR · 376-P.A.

14221 SW 120TH ST STE 129, Miami, FL 33186

Open in Google Maps ↗

Secondary Practice Location 1

Location 114221 SW 120th St Ste 129AMiami, FL 33186-7463 · Phone (305) 988-5000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis O Monteagudo Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759765530

PECOS Enrollment IDI20250714001534

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

YAIMI QUINTANA MARRERO APRN

Nurse Practitioner (Family)