Grande Management Services, LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

GRANDE MANAGEMENT SERVICES, LLC

Practice address

5901 W Linebaugh Ave
Tampa, FL 33624-5097

Phone

(971) 336-4392

NPI assigned

Jun 12, 2019

Organization subpart

No

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

Authorized official

Name

Miguel MontielNPI 1699334896

Title

Owner

Phone

(971) 336-4392

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miguel Montiel

  • Contractor
  • Tampa, FL
  • NPI 1699334896
  NPD (past) Authorized official

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1528627668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 PLAYER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328082212",
            "telephone_number": "971-336-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245097",
            "telephone_number": "971-336-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDE MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "MONTIEL",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-336-4392"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MediRoutes",
            "affiliation": "N",
            "endpointDescription": "MediRoutes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5901 W Linebaugh Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336245097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas Granato, CRNA
• Grand 14 LLC
• Eugenio Grand Barrios, MD
• Grand Dental, LLC
• Grand Wellness Group, LLC
• Grande Pharmacy LLC
• Gopal S Grandhige, M.D.
• Jamus Grandstrom
• Sally Jaye Granger, ARNP
• Ami Marie Grangerwelch

• Private Vehicle in Tampa, FL
• Providers in Tampa, FL by specialty
• Private Vehicle in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.