Julio Montejo DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS10388 Issued in FL

Legal business name

JULIO MONTEJO DO PA

Practice address

5072 Stillwater Ter
Cooper City, FL 33330-2755

Phone

(786) 514-4197

NPI assigned

Jun 11, 2012

Last updated

Jun 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julio Enrique Montejo, D.O.NPI 1346488558

Title

President

Phone

(786) 514-4197

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Julio Enrique Montejo, D.O.

  • Family Medicine Physician
  • Tierra Verde, FL
  • NPI 1346488558
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1386906931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 STILLWATER TER",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333302755",
            "telephone_number": "786-514-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 STILLWATER TER",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333302755",
            "telephone_number": "786-514-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO MONTEJO DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "MONTEJO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-514-4197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Cooper City, FL
• Providers in Cooper City, 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 Jun 11, 2012; 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.