Provider Demographics
NPI:1831685239
Name:MONTANE DE MESA, ALEXANDER I (PICC RN-MSN)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:
Last Name:MONTANE DE MESA
Suffix:I
Gender:M
Credentials:PICC RN-MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W 49TH ST STE 330
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3489
Mailing Address - Country:US
Mailing Address - Phone:305-842-1818
Mailing Address - Fax:305-392-0537
Practice Address - Street 1:900 W 49TH ST STE 330
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3489
Practice Address - Country:US
Practice Address - Phone:305-842-1818
Practice Address - Fax:305-392-0537
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9397403163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse