Individual provider Active NPI

Jose Luis Montells Perez, ARNP

  • Family Nurse Practitioner
  • Hialeah Gardens, FL
National Provider Identifier
1871096164
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9370370 Issued in FL
Practice address
10550 NW 77TH CT Ste 308
Hialeah Gardens, FL 33016-2072
Phone
(305) 863-2233
Fax
(305) 504-8813
NPI assigned
Mar 13, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9370370 FL Primary

Addresses

Primary practice location

10550 NW 77TH CT Ste 308
Hialeah Gardens, FL 33016-2072

Mailing address

5470 W 22ND LN Apt 203
Hialeah, FL 33016-2037
Phone (786) 444-4369

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180905003320 FL Practitioner - Nurse Practitioner 3971853367 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9370370FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
R. Abreu M.D., P.a. CurrentSince May 1, 2018 Accepting new patients
First Docs PC CurrentSince Jun 17, 2024 Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations

1490 W 49th Pl
Ste 204
Hialeah, FL 33012
Phone (305) 821-1711

2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

2801 NW 79th Ave
Ste 404
Miami, FL 33122
Phone (786) 281-6917

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1871096164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 W 22ND LN APT 203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162037",
            "telephone_number": "786-444-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 NW 77TH CT STE 308",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162072",
            "telephone_number": "305-863-2233",
            "fax_number": "305-504-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELLS PEREZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9370370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

Verify at the official NPI Registry.