Provider Demographics
NPI:1457975054
Name:MONZON WELLCARE CENTER INC
Entity Type:Organization
Organization Name:MONZON WELLCARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANTONIA
Authorized Official - Last Name:MONZON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-302-5590
Mailing Address - Street 1:6850 CORAL WAY STE 501
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1763
Mailing Address - Country:US
Mailing Address - Phone:305-639-8387
Mailing Address - Fax:305-230-7390
Practice Address - Street 1:6850 CORAL WAY STE 501
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1763
Practice Address - Country:US
Practice Address - Phone:305-639-8387
Practice Address - Fax:305-230-7390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-31
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center