Gerardo Montero

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

ME86644 Issued in FL

Practice address

4020 La Vista Cir Apt 201
Jacksonville, FL 32217-4335

Phone

(904) 636-0586

NPI assigned

Feb 25, 2008

Last updated

Feb 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1336318245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 LA VISTA CIR APT 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174335",
            "telephone_number": "904-636-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 LA VISTA CIR APT 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174335",
            "telephone_number": "904-636-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "058801",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "432303",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME86644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Victoria Monteleone, PA-C
• Michael Villahermosa Montemayor, OTR/L
• Michael Lawrence Monter, DPM
• Daniel Montero, MD
• Emilio Isaac Montero
• Gina Monterrosa
• Emily Monterroso, BCBA
• Massiel Montes de Oca, MS, MPH
• Sofia Montes, MD
• Montesinos Counseling Services, LLC (MCS Counseling Center)

• Geriatric Psychiatry Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.