Healthcare Provider Details

I. General information

NPI: 1841438751
Provider Name (Legal Business Name): ERNESTO R MONTESINO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ERNESTO R MONTESINO VARGAS MD

II. Dates (important events)

Enumeration Date: 01/30/2009
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6238 W ATLANTIC AVE SUITE 2
DELRAY BEACH FL
33484-3501
US

IV. Provider business mailing address

2900 N MILITARY TRL STE 243
BOCA RATON FL
33431-6362
US

V. Phone/Fax

Practice location:
  • Phone: 561-404-9845
  • Fax: 561-404-9849
Mailing address:
  • Phone: 561-496-1095
  • Fax: 561-948-4473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME110821
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: