MEDICARE: DR. ANDREW ROBERT MONTEIRO JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME128707	FL

General Provider Information

NPI Number	:	1497741169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW ROBERT MONTEIRO JR. M.D.

Provider Business Mailing Address
First Line	:	3706 N ROOSEVELT BLVD
Second Line	:	STE D
City	:	KEY WEST
State	:	FL
Zip	:	33040-4566
Country	:	US
Telephone Number	:	305-517-6613
Fax Number	:	305-292-6477

Provider Business Practice Location Address
First Line	:	3706 N ROOSEVELT BLVD
Second Line	:	SUITE G
City	:	KEY WEST
State	:	FL
Zip	:	33040-4566
Country	:	US
Telephone Number	:	305-517-6613
Fax Number	:	305-292-6477

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	08/16/2016

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