MEDICARE: ANA MONTEIRO

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1528374212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA MONTEIRO

Provider Business Mailing Address
First Line	:	PO BOX 575
Second Line	:
City	:	SOMERSET
State	:	MA
Zip	:	02726-0575
Country	:	US
Telephone Number	:	508-415-9160
Fax Number	:

Provider Business Practice Location Address
First Line	:	1318 SW 20TH ST
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-5856
Country	:	US
Telephone Number	:	508-415-9160
Fax Number	:

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

Provider Enumeration Date	:	08/19/2010
Last Update Date	:	08/19/2010

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