Individual provider Active NPI

Maydenis Monzon, MSOTR/L

  • Occupational Therapist
  • Hialeah, FL
National Provider Identifier
1336790294
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18877 Issued in FL
Practice address
456 W 51St PL
Hialeah, FL 33012-3620
Phone
(305) 364-0337
Fax
(305) 364-0338
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 18877 FL Primary

Addresses

Primary practice location

456 W 51St PL
Hialeah, FL 33012-3620

Mailing address

1441 SW 153Rd Path
Miami, FL 33194-2662
Phone (305) 903-0993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220409000207 FL Practitioner - Occupational Therapist in Private Practice 6103212683 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHP Mental Health Center IncGroup PAC ID 9830535939, 8 clinicians
CMP Medical Center CorpGroup PAC ID 9133457401, 9 clinicians
Family Health Community IncGroup PAC ID 3577964956, 12 clinicians

Practice addresses (Care Compare)

10665 SW 190TH St
Suite 3213
Cutler Bay, FL 33157-7706
Phone (786) 760-6451

1797 Coral Way
Miami, FL 33145-2728
Phone (786) 464-0673

8725 NW 18TH Ter
Suite 206
Doral, FL 33172-2629
Phone (786) 451-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18877FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Community Inc CurrentSince Aug 11, 2022 Accepting new patients
A & S Wellness Center LLC CurrentSince Mar 27, 2023 Accepting new patients
Coral CMHC Inc CurrentSince Feb 21, 2024 Accepting new patients
PHP Mental Health Center Inc CurrentSince Oct 1, 2024 Accepting new patients
CM Care Medical Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Golden Years Behavioral Center Corp CurrentSince Nov 1, 2023 Accepting new patients
Associates Rehabilitation South, Inc Past Accepting new patients

Locations

10665 SW 190th St
Ste 3213
Cutler Bay, FL 33157
Phone (786) 380-2077

8725 NW 18th Ter
Ste 206
Doral, FL 33172
Phone (786) 451-8700

1840 W 49th St
Ste 606
Hialeah, FL 33012
Phone (305) 846-9727

2141 SW 1st St
Ste 103
Miami, FL 33135
Phone (305) 644-6024

12955 SW 42nd St
Ste 2
Miami, FL 33175
Phone (305) 364-5711

11050 SW 88th St
Ste 106
Miami, FL 33176
Phone (786) 558-5847

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1336790294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SW 153RD PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942662",
            "telephone_number": "305-903-0993",
            "fax_number": "305-364-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 W 51ST PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123620",
            "telephone_number": "305-364-0337",
            "fax_number": "305-364-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONZON",
        "first_name": "MAYDENIS",
        "name_prefix": "Mrs.",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "18877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.