Healthcare Provider Details

I. General information

NPI: 1376552471
Provider Name (Legal Business Name): ALBERTO MONTERO LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 06/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SW 27TH AVE SUITE G20
MIAMI FL
33135-3031
US

IV. Provider business mailing address

11031 NE 6TH AVE
MIAMI FL
33161-7182
US

V. Phone/Fax

Practice location:
  • Phone: 305-643-7800
  • Fax: 305-643-1345
Mailing address:
  • Phone: 305-398-6100
  • Fax: 305-757-4465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 5479
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: