Organization
KIDNEY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAUL GONZALEZ MONTALVO MD (OWNER)
(787) 467-6746
Entity
Organization
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 631-2485
Mailing address
9737 NW 41 STREET PMB 626, DORAL, FL 33178
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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