MEDICARE: PERLA MONTERO

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	2355S0801X	Speech-Language Assistant	S0I126	FL
2	235Z00000X	Speech-Language Pathologist	SZ7480	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609131291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERLA MONTERO

Provider Business Mailing Address
First Line	:	900 W 49TH ST STE 332
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3489
Country	:	US
Telephone Number	:	305-556-0121
Fax Number	:	305-556-1372

Provider Business Practice Location Address
First Line	:	900 W 49TH ST STE 332
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3489
Country	:	US
Telephone Number	:	305-556-0121
Fax Number	:	305-556-1372

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

Provider Enumeration Date	:	07/10/2012
Last Update Date	:	02/02/2016

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Directions to “ PERLA MONTERO ” Practice Location

Language	Start Address	Practice Location

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