Individual provider Active NPI

Delfi M Monteagudo, D.C.

  • Chiropractor
  • Doral, FL
National Provider Identifier
1609911247
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6886 Issued in FL
Practice address
3901 NW 79TH Ave Ste 122
Doral, FL 33166-6554
Phone
(863) 858-3993
Fax
(863) 858-7398
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6886 FL Primary

Addresses

Primary practice location

3901 NW 79TH Ave Ste 122
Doral, FL 33166-6554

Mailing address

999 Brickell Bay Dr Apt 307
Miami, FL 33131-2912
Phone (863) 858-3993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH6886FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Rehabilitation Center Inc PastSince Apr 30, 2003 Accepting new patients
North Lakeland Pain & Trauma Inc Past Accepting new patients

Organizations & group practices 2

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1609911247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 BRICKELL BAY DR APT 307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312912",
            "telephone_number": "863-858-3993",
            "fax_number": "863-858-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NW 79TH AVE STE 122",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666554",
            "telephone_number": "863-858-3993",
            "fax_number": "863-858-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEAGUDO",
        "first_name": "DELFI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.