Desaly Montilla M.D.L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME39089 Issued in FL

Legal business name

DESALY MONTILLA M.D.L.L.C.

Practice address

8525 SW 92ND St
Suite B-4
Miami, FL 33156-7365

Phone

(305) 279-7446

Fax

(305) 598-8753

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Desaly M Gonzalez

Title

Manager

Phone

(305) 279-7446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1295084127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 SW 92ND ST",
            "address_2": "SUITE B-4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567365",
            "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 92ND ST",
            "address_2": "SUITE B-4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567365",
            "telephone_number": "305-279-7446",
            "fax_number": "305-598-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESALY MONTILLA M.D.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DESALY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-279-7446",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME39089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Dervil
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• Anshumi Janak Desai, M.D.
• Stacie Desale, PA-C
• Desam Phamracy Group LLC
• Marixiel D Desangles
• Alyssa Ann Desanti, APRN
• Danielle L Desantis, CP, LMFT
• Joseph Desantis, ARNP

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.