Organization Active NPI

Maximo R Monterrey, MD

  • Psychiatry Physician
  • Hallandale Beach, FL
National Provider Identifier
1134533623
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME31213 Issued in FL
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

Updated by the provider on Jun 12, 2014

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
036660900MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.