Provider Demographics
NPI:1598705006
Name:MON ORTHOPEDIC, INC.
Entity Type:Organization
Organization Name:MON ORTHOPEDIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:L
Authorized Official - Last Name:QUIRANTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-835-8600
Mailing Address - Street 1:600 E 25TH ST STE E
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3801
Mailing Address - Country:US
Mailing Address - Phone:305-835-6000
Mailing Address - Fax:305-835-0013
Practice Address - Street 1:600 E 25TH ST STE E
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3801
Practice Address - Country:US
Practice Address - Phone:305-835-6000
Practice Address - Fax:305-835-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2023-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL029141200Medicaid
FL029141200Medicaid