Virgilio Jose Mongalo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN12933 Issued in FL

Practice address

7875 SW 104TH St
Suite 104
Miami, FL 33156-2677

Phone

(305) 271-9202

Fax

(305) 271-9370

NPI assigned

Nov 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1104154756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 SW 104TH ST",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562677",
            "telephone_number": "305-271-9202",
            "fax_number": "305-271-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 SW 104TH ST",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562677",
            "telephone_number": "305-271-9202",
            "fax_number": "305-271-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGALO",
        "first_name": "VIRGILIO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luckner Monexe
• Laurie Ann Money
• Carl-Henri Monfiston, M.D., M.S.
• Akarshan Monga, DO
• Jose Mauricio Mongalo
• Oscar Monge Gregorio, BCABA 0-17-7928
• Alfonso Jose Monge, M.D.
• Monica Andres DPM, PA
• Monica P Ilievski Arnp PA
• Monica Viera-Mulet, Arnp, P.a.

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.