Organization Active NPI

Daniel Montenegro, LLC

Doing business as Bayside Ophthalmology

  • Cornea and External Diseases Specialist Physician
  • Miami, FL
National Provider Identifier
1063104024
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
Legal business name
DANIEL MONTENEGRO, LLC
Doing business as
Bayside Ophthalmology
Practice address
3683 S Miami Ave Ste 260
Miami, FL 33133-4224
Phone
(305) 804-6396
NPI assigned
May 25, 2023
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Enrique Montenegro, M.D.NPI 1013283779
Title
Ophthalmology
Phone
(305) 804-6396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X Primary

Addresses

Primary practice location

3683 S Miami Ave Ste 260
Miami, FL 33133-4224

Mailing address

3683 S Miami Ave Ste 260
Miami, FL 33133-4224
Phone (305) 280-9491

Other names 1

  • Bayside Ophthalmology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250417001981 FL Part B Supplier - Clinic/Group Practice 7810412269 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

3683 S Miami Ave
Ste 260
Miami, FL 33133
Phone (305) 280-9491

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1063104024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3683 S MIAMI AVE STE 260",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334224",
            "telephone_number": "305-280-9491",
            "fax_number": "305-290-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3683 S MIAMI AVE STE 260",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334224",
            "telephone_number": "305-804-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL MONTENEGRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "MONTENEGRO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OPHTHALMOLOGY",
        "authorized_official_telephone_number": "305-804-6396",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Ophthalmology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.