Healthcare Provider Details

I. General information

NPI: 1922642024
Provider Name (Legal Business Name): EVELIN DEL PILAR MONTERO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. EVELIN DEL PILAR MARTINEZ GURDIAN

II. Dates (important events)

Enumeration Date: 10/31/2019
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1448 N KROME AVE STE 101
FLORIDA CITY FL
33034-2402
US

IV. Provider business mailing address

3712 NE 19TH ST
HOMESTEAD FL
33033-5576
US

V. Phone/Fax

Practice location:
  • Phone: 305-245-0222
  • Fax: 305-246-3700
Mailing address:
  • Phone: 305-336-7710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN1287
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number21586
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: