MEDICARE: DR. EVELIN DEL PILAR MONTERO 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	208D00000X	General Practice Physician	ACN1287	FL
2	208D00000X	General Practice Physician	21586	PR

General Provider Information

NPI Number	:	1922642024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVELIN DEL PILAR MONTERO MD

Provider Business Mailing Address
First Line	:	3712 NE 19TH ST
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33033-5576
Country	:	US
Telephone Number	:	305-336-7710
Fax Number	:

Provider Business Practice Location Address
First Line	:	1448 N KROME AVE STE 101
Second Line	:
City	:	FLORIDA CITY
State	:	FL
Zip	:	33034-2402
Country	:	US
Telephone Number	:	305-245-0222
Fax Number	:	305-246-3700

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

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	03/03/2025

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