Provider Demographics
NPI:1942024641
Name:MONTURA HEALTH LLC
Entity type:Organization
Organization Name:MONTURA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YAMILE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-287-1048
Mailing Address - Street 1:395 NW 121ST ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-3500
Mailing Address - Country:US
Mailing Address - Phone:786-287-1048
Mailing Address - Fax:
Practice Address - Street 1:8360 COUNTY ROAD 833
Practice Address - Street 2:
Practice Address - City:CLEWISTON
Practice Address - State:FL
Practice Address - Zip Code:33440-9215
Practice Address - Country:US
Practice Address - Phone:786-629-9050
Practice Address - Fax:786-629-9825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center