Active NPI
Maximo R Monterrey, MD
- Psychiatry Physician
- Hallandale Beach, FL
National Provider Identifier
1134533623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME31213
- Legal business name
- MAXIMO R MONTERREY, MD
- Practice address
- 2100 E Hallandale Beach Blvd Ste 208
Hallandale Beach, FL 33009-3770 - Phone
- (954) 458-0848
- Fax
- (954) 458-0117
- NPI assigned
- Jun 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rosa Monterrey
- Title
- Office Manager
- Phone
- (954) 458-0848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME31213 | FL | Primary |
Addresses
Primary practice location
2100 E Hallandale Beach Blvd Ste 208
Hallandale Beach, FL 33009-3770
Mailing address
2100 E Hallandale Beach Blvd Ste 208
Hallandale Beach, FL 33009-3770
Phone (954) 458-0848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036660900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402531200000",
"number": "1134533623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 E HALLANDALE BEACH BLVD STE 208",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330093770",
"telephone_number": "954-458-0848",
"fax_number": "954-458-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 E HALLANDALE BEACH BLVD STE 208",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330093770",
"telephone_number": "954-458-0848",
"fax_number": "954-458-0117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIMO R MONTERREY, MD",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-12",
"last_updated": "2014-06-12",
"status": "A",
"authorized_official_last_name": "MONTERREY",
"authorized_official_first_name": "ROSA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "954-458-0848",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME31213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036660900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.