Jorge Luis Montane-Gonzalez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME52110 Issued in FL

Practice address

901 E Bloomingdale Ave Ste 501
Brandon, FL 33511-8118

Phone

(813) 699-3995

Fax

(813) 315-1625

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC

  dba Pediatric Associates

  • Pediatrics Physician
  • Brandon, FL
  • NPI 1639945892
  NPD
• Saltzman, Tanis, Pittell, Levin and Jacobson

  dba Pediatric Associates

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1417080755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "813-699-3995",
            "fax_number": "813-315-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BLOOMINGDALE AVE STE 501",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118118",
            "telephone_number": "813-699-3995",
            "fax_number": "813-315-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANE-GONZALEZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME52110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061329100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Momentum Rehabilitation
• Tierra S Momplaisir, OTR
• John Edwin Monaco, M.D.
• Danielle Moncalieri, FNP-BC
• Astrid Mondaca, M.D.
• Sindy Montanes Fernandez
• Joseph Monteleone, LMHC, LMFT
• Love Shareese Montgomery, HHA
• Monther Al-Halawani, MD, PA (Center for Diabetes and Metabolic Disorders)
• Camila Montiel Acuna

• Pediatrics Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.