Jesus Montesano MD Medical Center
NPI 1104636208 · Primary Care Clinic/Center · Hialeah, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jesus Montesano MD Medical Center is a Primary Care Clinic/Center organization in Hialeah, FL (NPI 1104636208).
Provider details
- NPI number
- 1104636208
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jesus Montesano, Owner(645) 229-1317
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-01-10
- Last updated
- 2025-02-19
- Certified
- 2025-02-19
Frequently asked questions
- What is Jesus Montesano MD Medical Center's NPI number?
- Jesus Montesano MD Medical Center's National Provider Identifier (NPI) is 1104636208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jesus Montesano MD Medical Center?
- Jesus Montesano MD Medical Center is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jesus Montesano MD Medical Center located?
- Jesus Montesano MD Medical Center's practice location on file with NPPES is 664 E 25th St Ste 101, Hialeah, FL 33013-3806.
- What is Jesus Montesano MD Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Jesus Montesano MD Medical Center is (645) 229-1317.
- Does Jesus Montesano MD Medical Center accept Medicare?
- Jesus Montesano MD Medical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jesus Montesano MD Medical Center?
- The authorized official listed on Jesus Montesano MD Medical Center's NPPES record is Jesus Montesano, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jesus Montesano MD Medical Center's NPI active?
- Yes — Jesus Montesano MD Medical Center's NPI (1104636208) is active in the NPPES registry as of the last update on 2025-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.