Healthcare Provider Details

I. General information

NPI: 1750710885
Provider Name (Legal Business Name): ALBERTO MONTERO APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2013
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4215 SW 72ND AVE
MIAMI FL
33155-4510
US

IV. Provider business mailing address

3520 W 18TH AVE STE 115
HIALEAH FL
33012-4634
US

V. Phone/Fax

Practice location:
  • Phone: 305-377-3297
  • Fax: 786-703-9794
Mailing address:
  • Phone: 786-837-0897
  • Fax: 786-837-0898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9326699
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN9326699
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: