Provider Demographics
NPI:1114192481
Name:ABELLA MONTESINOS AND ASSOCIATES INC
Entity Type:Organization
Organization Name:ABELLA MONTESINOS AND ASSOCIATES INC
Other - Org Name:DIABETES LIVING SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PLANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-292-5305
Mailing Address - Street 1:5201 BLUE LAGOON DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2064
Mailing Address - Country:US
Mailing Address - Phone:866-292-5305
Mailing Address - Fax:866-451-4051
Practice Address - Street 1:5201 BLUE LAGOON DR
Practice Address - Street 2:SUITE 260
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2064
Practice Address - Country:US
Practice Address - Phone:866-292-5305
Practice Address - Fax:866-451-4051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5961320001Medicare NSC