Montoya Podiatry Center, LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

MONTOYA PODIATRY CENTER, LLC

Practice address

806 N Rose Ave
Kissimmee, FL 34741-4944

Phone

(407) 753-4452

Fax

(407) 613-2265

NPI assigned

Jun 3, 2021

Last updated

Sep 13, 2022By 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. Edward Montoya, DPMNPI 1396983037

Title

Doctor

Phone

(908) 553-5581

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Edward Montoya, DPM

  • Foot & Ankle Surgery Podiatrist
  • Elizabeth, NJ
  • NPI 1396983037

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1548836000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N ROSE AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414944",
            "telephone_number": "407-753-4452",
            "fax_number": "407-613-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N ROSE AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414944",
            "telephone_number": "407-753-4452",
            "fax_number": "407-613-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTOYA PODIATRY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "908-553-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "N8982",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111560200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Franco Montes
• Lilybeth Montevilla
• Ashleigh Sumaya Montgomery, COTA
• Taylor Pilar Monthey, PHARMD
• Ramon Antonio Montilla de Rodriguez
• Alexandra Kristal Montoya, PHARMD
• Kellie Monzillo, PHARMD
• David Moodie, MD
• Larise Moody Allsop
• Bryon R Moore, D.C.

• Podiatric Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Podiatric Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.