OrganizationActive
Live Implants Corp
NPI 1033780895 · Oral and Maxillofacial Surgery Clinic/Center · Palmetto Bay, FL
Provider details
- NPI number
- 1033780895
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Virgilio Mongalo, Doctor
Practice location
18001 Old Cutler Rd Ste 405
Palmetto Bay, FL 33157-6434
Phone: (786) 249-4514
Mailing address
18001 Old Cutler Rd Ste 405
Palmetto Bay, FL 33157-6434
Registry dates
- Enumerated
- 2021-07-02
- Last updated
- 2021-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.