Organization Name: | BELMONTES SURGICAL ASSISTANT |
NPI Number: | 1124434642 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALTAGRACIA BELMONTES (CERTIFIED SURGICAL ASSISTANT) |
Mailing Address: | 157 Cove Rd Greenacres |
State: | FL US |
Postal Code: | 334132145 |
Phone Number: | 5616324184 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2014 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 3725 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |