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General NPI Number Information
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NPI Number | 1063104024
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Entity Type | Organization
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Legal Business Name | DANIEL MONTENEGRO, LLC
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 3683 S MIAMI AVE STE 260
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City | MIAMI
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State | FL
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Zip | 33133-4224
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Country | US
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Telephone | 305-804-6396
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Fax |
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Provider Business Mailing Address
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Address Line | 3683 S MIAMI AVE STE 260
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City | MIAMI
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State | FL
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Zip | 33133-4224
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Country | US
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Telephone | 305-280-9491
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Fax | 305-290-3714
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Authorized Official
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Title or Position | OPHTHALMOLOGY
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Name | DANIEL ENRIQUE MONTENEGRO
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Credential | M.D.
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Telephone | 305-804-6396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number |
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License Number State |
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