MEDICARE: SANDORF MONTERO DMD

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DN25173	FL
2	122300000X	Dentist	DN25173	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DN25173	OTHER	FL	LICENSE NUMBER

General Provider Information

NPI Number	:	1609494137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDORF MONTERO DMD

Provider Business Mailing Address
First Line	:	11300 NW 87TH CT STE 166
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4521
Country	:	US
Telephone Number	:	786-702-5643
Fax Number	:	305-364-0983

Provider Business Practice Location Address
First Line	:	11300 NW 87TH CT STE 166
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4521
Country	:	US
Telephone Number	:	786-702-5643
Fax Number	:	305-364-0983

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

Provider Enumeration Date	:	07/10/2020
Last Update Date	:	09/05/2023

Similar Medicare Providers

1841143203 — SECURED KIDS CARE LLC
Practice Location Address:

11300 NW 87TH CT STE 162
HIALEAH, FL
33018-4521

Practice Phone: 786-542-9127
Practice Fax:

1205094034 — BUENA VISTA MEDICAL CENTER INC
Practice Location Address:

11300 NW 87TH CT STE 167 , #167
HIALEAH GARDENS, FL
33018-4521

Practice Phone: 305-828-7520
Practice Fax:

1821462029 — SYLVIA SANTANA PA
Practice Location Address:

11300 NW 87TH CT STE 166
HIALEAH, FL
33018-4521

Practice Phone: 305-364-9322
Practice Fax: 305-364-0983

1669156436 — COSMETIC SMILES DENTAL CARE LLC
Practice Location Address:

11300 NW 87TH CT STE 166
HIALEAH GARDENS, FL
33018-4521

Practice Phone: 305-364-9322
Practice Fax: 305-364-0983

1861586448 — DR. MICHAEL T PATTEN M.D.
Practice Location Address:

4521 PGA BLVD # 295
PALM BEACH GARDENS, FL
33418-3997

Practice Phone: 561-624-7315
Practice Fax: 561-624-7620

1942357793 — MICHAEL T PATTEN MD PA
Practice Location Address:

4521 PGA BLVD # 295
PALM BEACH GARDENS, FL
33418-3997

Practice Phone: 561-624-7315
Practice Fax: 561-624-7320

Directions to “ SANDORF MONTERO DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.