Gretel Montano, PTA

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11030505 Issued in FL

Practice address

7035 NW 173Rd Dr Apt 1608
Hialeah, FL 33015-4080

Phone

(786) 296-5234

NPI assigned

Nov 11, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanta Health LLC

  • Clinic/Center
  • Miami Lakes, FL
  • NPI 1366302960
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1114390291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W 75TH ST APT 304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144089",
            "telephone_number": "786-296-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 NW 173RD DR APT 1608",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154080",
            "telephone_number": "786-296-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "GRETEL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11030505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solange De Las Mercedes Montalvo
• Susana Montalvo, LMHC
• Alexander Montane de Mesa I, PICC RN-MSN
• Lilianny De la C Montano Guerra
• Yisell Montano Suarez
• Maritza Montano, LMHC
• Monte de Sinai Medical Center
• Claudia Monteagudo Blanco
• Yassin Monteagudo Perez
• Claudia Monteagudo

• Gerontology Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.