MEDICARE: DR. ERNESTO R MONTESINO MD

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	207RI0200X	Infectious Disease Physician	ME110821	FL

General Provider Information

NPI Number	:	1841438751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERNESTO R MONTESINO MD

Provider Business Mailing Address
First Line	:	2900 N MILITARY TRL STE 243
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-6362
Country	:	US
Telephone Number	:	561-496-1095
Fax Number	:	561-948-4473

Provider Business Practice Location Address
First Line	:	6238 W ATLANTIC AVE
Second Line	:	SUITE 2
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-3501
Country	:	US
Telephone Number	:	561-404-9845
Fax Number	:	561-404-9849

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

Provider Enumeration Date	:	01/30/2009
Last Update Date	:	12/18/2025

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