Individual
LUIS O MONTEAGUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
14221 SW 120TH ST STE 129, MIAMI, FL 33186-7463
(305) 988-5000
Mailing address
14221 SW 120TH ST STE 129, MIAMI, FL 33186-7463
(305) 988-5000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
376-P.A.
PR
363AM0700X
Medical Physician Assistant
Primary
PACN39
FL
Other
Enumeration date
06/05/2019
Last updated
05/10/2025
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