Miguel Montiel

Primary specialty

ContractorTaxonomy code 171W00000X

License

L19000008366 Issued in FL

Practice address

5901 W Linebaugh Ave
Tampa, FL 33624-5097

Phone

(971) 336-4392

NPI assigned

Jun 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Grande Management Services, LLC

  • Private Vehicle
  • Tampa, FL
  • NPI 1528627668
  NPD (past) Authorized official

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1699334896",
    "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": {
        "last_name": "MONTIEL",
        "first_name": "MIGUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "L19000008366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MediRoutes",
            "affiliation": "Y",
            "endpointDescription": "MediRoutes",
            "affiliationName": "National Medtrans, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "MediRoutes is a software that give us instructions from point A to point B",
            "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": []
}

• Nayomi Charmian Montgomery, M.S. CCC-SLP
• Morgan Monthony, DNP, ARNP, FNP-BC
• Elena Monti, LCSW
• Monticciolo Family and Sedation Dentistry, PA
• Vincent Monticciolo, D.D.S, M.B.A
• Bernardita P. Montilla, REGISTERED NURSE
• Jorge Montoya Romero, LMT
• Leighann B Montoya, APRN
• Miguel A Montoya, MD
• Jennifer Victoria Montressor, RNFA

• Contractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.