Healthcare Provider Details

I. General information

NPI: 1366889172
Provider Name (Legal Business Name): MONIQUE ADORNO MONET M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2013
Last Update Date: 03/09/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 CALLE FONT MARTELO
HUMACAO PR
00791-3346
US

IV. Provider business mailing address

150 AVE FONT MARTELO
HUMACAO PR
00791-3372
US

V. Phone/Fax

Practice location:
  • Phone: 787-861-7777
  • Fax:
Mailing address:
  • Phone: 787-861-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19929
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: