Individual ProviderLiliana MontoyaSpecialistOther Service ProvidersPractice Address4161 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-9204(941) 764-0800PECOS EnrollmentBased on the most recent information from CMS, provider Liliana Montoya is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 1:10 PM.Profile DetailsProvider ID1245255793Provider TypeIndividualFull NameMontoya, LilianaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/13/2006Last Updated1/3/2008Contact InformationPractice LocationPractice Address4161 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-9204Phone(941) 764-0800Fax(941) 764-6494Mailing LocationMailing Address4161 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-9204Phone(941) 764-0800Fax(941) 764-6494Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseME85919Florida