NPIMap

Organization Active NPI

Montesol Medical Centers LLC

  • Family Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1992413512
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONTESOL MEDICAL CENTERS LLC
Practice address
2669 Forest Hill Blvd Ste 100
West Palm Beach, FL 33406-5966
Phone
(786) 318-0900
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Yandry Benitez Rivera
Title
Owner
Phone
(786) 318-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2669 Forest Hill Blvd Ste 100
West Palm Beach, FL 33406-5966

Mailing address

2669 Forest Hill Blvd Ste 100
West Palm Beach, FL 33406-5966
Phone (786) 318-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230111002389 FL Part B Supplier - Clinic/Group Practice 1759751563 Receives reassigned benefits from 3 practitioners
Practice locations: West Palm Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2277057Montesol Medical Centers, LLC2669 Forest Hill Blvd - Ste 100, West Palm Beach, FL 33406Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Locations

2669 Forest Hill Blvd
Ste 100
West Palm Beach, FL 33406
Phone (561) 968-7600

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1992413512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 FOREST HILL BLVD STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065966",
            "telephone_number": "786-318-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 FOREST HILL BLVD STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065966",
            "telephone_number": "786-318-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTESOL MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "BENITEZ RIVERA",
        "authorized_official_first_name": "YANDRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-318-0900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.