Healthcare Provider Details

I. General information

NPI: 1225542392
Provider Name (Legal Business Name): BARBARA MONTERO BARCELO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2017
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12202 SW 26TH ST
MIAMI FL
33175-2214
US

IV. Provider business mailing address

8841 W FLAGLER ST APT 102
MIAMI FL
33174-2421
US

V. Phone/Fax

Practice location:
  • Phone: 305-316-8583
  • Fax:
Mailing address:
  • Phone: 305-316-8583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN9488150
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: