Provider Demographics
NPI:1285603563
Name:UROMEDIX INC
Entity type:Organization
Organization Name:UROMEDIX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICARE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-466-9111
Mailing Address - Street 1:21150 BISCAYNE BLVD
Mailing Address - Street 2:SUITE #404
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:305-466-9111
Mailing Address - Fax:305-466-9121
Practice Address - Street 1:21150 BISCAYNE BLVD
Practice Address - Street 2:SUITE #404
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:305-466-9111
Practice Address - Fax:305-466-9121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL21199GMedicare PIN
FL21199EMedicare PIN
FL21199FMedicare PIN