Provider / Organization | NPI | Date Certified |
---|---|---|
JESUS ALFREDO MONTES RODARTE | 1144897539 | 2021-06-05 |
Jesus Alfredo Montes Rodarte is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144897539. Registration indicates Jesus Alfredo Montes Rodarte is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Jesus Alfredo Montes Rodarte PA-C |
Practice Office Address | 13207 RAVENNA RD CHARDON, OH US |
Practice Office Telephone | 4402856000 |
Mailing Address | 30911 ROOSEVELT RD WICKLIFFE, OH 440921030 US |
Business Telephone | 8594099788 |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 50.006984
OH |