Provider Demographics
NPI:1972892776
Name:MONZON, ADEL (LMT)
Entity type:Individual
Prefix:
First Name:ADEL
Middle Name:
Last Name:MONZON
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9535 SW 24TH ST
Mailing Address - Street 2:APT E201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-8077
Mailing Address - Country:US
Mailing Address - Phone:786-262-8880
Mailing Address - Fax:
Practice Address - Street 1:2232 NW 87TH AVE
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2414
Practice Address - Country:US
Practice Address - Phone:305-392-3207
Practice Address - Fax:305-392-3208
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 57657225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist