Active NPI
Desaly Montilla
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1194782391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME38945
- Practice address
- 8525 SW 92 Street
Suite B 4
Miami, FL 33156-7374 - Phone
- (305) 279-7446
- Fax
- (305) 598-8753
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME38945 | FL | Primary |
Addresses
Primary practice location
8525 SW 92 Street
Suite B 4
Miami, FL 33156-7374
Mailing address
8525 SW 92 Street
Suite B 4
Miami, FL 33156-7374
Phone (305) 279-7446
Other names 1
- Mrs. Desaly Gonzalez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1194782391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8525 SW 92 STREET",
"address_2": "SUITE B 4",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567374",
"telephone_number": "305-279-7446",
"fax_number": "305-598-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8525 SW 92 STREET",
"address_2": "SUITE B 4",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567374",
"telephone_number": "305-279-7446",
"fax_number": "305-598-8753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTILLA",
"first_name": "DESALY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME38945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DESALY",
"last_name": "GONZALEZ",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}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 Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.