NPI | 1043563513 |
---|---|
Doing Business As | JESUS MONTESANO MD PA |
Entity Type | Organization |
Authorized Contact | JOSEPH N DE VERA Ra 786-200-8305 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME 57047) |
Enumeration Date | 2012-10-22 |
Last Update Date | 2023-05-08 |