Organization
ALTIUS MANAGEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS O MONTEAGUDO PA (PRESIDENT)
(305) 988-5000
Entity
Organization
Contact information
Practice address
14221 SW 120TH ST STE 129A, MIAMI, FL 33186-7463
(305) 988-5000
Mailing address
14221 SW 120TH ST STE 101, MIAMI, FL 33186-7291
(305) 988-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
11/25/2020
Last updated
08/29/2024
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