Provider Demographics
NPI:1235370875
Name:EDUARDO A MONTADAS, DC
Entity Type:Organization
Organization Name:EDUARDO A MONTADAS, DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:MONTADAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-558-4650
Mailing Address - Street 1:15426 NW 77TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5803
Mailing Address - Country:US
Mailing Address - Phone:305-558-4650
Mailing Address - Fax:480-393-5972
Practice Address - Street 1:15426 NW 77TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5803
Practice Address - Country:US
Practice Address - Phone:305-558-4650
Practice Address - Fax:480-393-5972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-11
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL53942OtherBC/BS