# JESUS MONTESANO MD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Jesus Montesano MD PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043563513
- **Authorized official:** JOSEPH N DE VERA (RA)
- **Authorized official phone:** (786) 200-8305

## Contact information

- **Practice address:** 664 E 25TH ST, SUITE 101, HIALEAH, FL 33013-3805
- **Practice address phone:** (305) 835-7625
- **Practice address fax:** (305) 835-0550
- **Mailing address:** 1000 NW 57TH CT STE 400, MIAMI, FL 33126-3292
- **Mailing address phone:** (305) 649-8100
- **Mailing address fax:** (305) 835-0550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME 57047 | FL | Yes |

## Other

- **Enumeration date:** 10/22/2012
- **Last updated:** 05/08/2023