Provider Demographics
NPI:1063787042
Name:MONTSERRAT BUIA, M.D., P.A.
Entity type:Organization
Organization Name:MONTSERRAT BUIA, M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:MONTSERRAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BUIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:305-279-7020
Mailing Address - Street 1:11801 SW 90TH ST
Mailing Address - Street 2:105
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2182
Mailing Address - Country:US
Mailing Address - Phone:305-279-7020
Mailing Address - Fax:
Practice Address - Street 1:11801 SW 90TH ST
Practice Address - Street 2:105
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2182
Practice Address - Country:US
Practice Address - Phone:305-279-7020
Practice Address - Fax:305-598-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0049683207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL262173800Medicaid
FL262173800Medicaid
FL07743Medicare PIN