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General NPI Number Information
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NPI Number | 1932142064
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Entity Type | Individual
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Provider Name | PEDRO MONSERRATE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 2721 DEL PRADO BLVD S SUITE 260
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City | CAPE CORAL
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State | FL
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Zip | 33904-5781
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Country | US
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Telephone | 239-574-0011
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Fax | 239-574-4020
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Provider Business Mailing Address
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Address Line | 3210 CLEVELAND AVE STE 100
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City | FORT MYERS
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State | FL
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Zip | 33901-7182
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Country | US
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Telephone | 239-574-0011
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Fax | 239-574-4020
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0063174
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License Number State | FL
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