Juana Liudmila Montalvo Duporte

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11005205 Issued in FL

Practice address

8041 Plaza del Lago Dr
Estero, FL 33928-5300

Phone

(239) 494-3460

NPI assigned

Oct 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1275177552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 GREENWOOD AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339723026",
            "telephone_number": "305-496-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8041 PLAZA DEL LAGO DR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339285300",
            "telephone_number": "239-494-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO DUPORTE",
        "first_name": "JUANA",
        "middle_name": "LIUDMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2023-07-31",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9379496",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephania Medeje Michaud, RN, BSN, IBCLC
• Michelle Hamilton LMFT LLC
• Millennium Physician Group LLC
• Alexa Miller
• Mind/Mood Counseling & Coaching Centers of SWFL PLLC
• Melissa Montinieri, NP
• Leandro Petersen Moraes, M.D.
• Genny Morales Verdeal
• Thomas C Morell, M.D.
• Stefanie Morgan, PT

• Family Nurse Practitioner in Estero, FL
• Providers in Estero, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.