Individual provider Active NPI

Misael Montero

  • Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1477138220
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11006578 Issued in FL
Practice address
2229 Sheridan St
Hollywood, FL 33020-2040
Phone
(305) 266-2929
Fax
(786) 377-5525
NPI assigned
Mar 12, 2021
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11006578 FL Primary

Addresses

Primary practice location

2229 Sheridan St
Hollywood, FL 33020-2040

Mailing address

2229 Sheridan St
Hollywood, FL 33020-2040
Phone (305) 266-2929

Other practice location 1

6525 W 26th Dr Apt 201
Hialeah, FL 33016-2820
Phone (305) 988-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220111002853 FL Practitioner - Nurse Practitioner 9133511777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians

Practice addresses (Care Compare)

2229 Sheridan St
Hollywood, FL 33020-2040
Phone (305) 266-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11006578FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med Care Centers LLC CurrentSince Apr 18, 2024 Accepting new patients
Centrum Medical Holdings, LLC CurrentSince Sep 29, 2021 Accepting new patients
Medcare Centers, LLC CurrentSince Apr 18, 2024 Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Sep 29, 2021 Accepting new patients

Locations

1801 N University Dr
Ste 101
Coral Springs, FL 33071
Phone (954) 344-8100

8844A W State Road 84
Ste G10
Davie, FL 33324

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 447-4582

3690 Davie Blvd
Ft Lauderdale, FL 33312
Phone (954) 833-0010

1460 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 455-2385

2229 Sheridan St
Hollywood, FL 33020
Phone (954) 251-2381

3138 N Federal Hwy
Lighthouse Point, FL 33064

612 S State Road 7
Margate, FL 33068
Phone (954) 535-1919

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

12709 Miramar Pkwy
Miramar, FL 33027
Phone (786) 970-8010

5730 SW 74th St
Ste 200
South Miami, FL 33143

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1477138220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202040",
            "telephone_number": "305-266-2929",
            "fax_number": "786-377-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202040",
            "telephone_number": "305-266-2929",
            "fax_number": "786-377-5525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6525 W 26th Dr Apt 201",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330162820",
            "country_code": "US",
            "telephone_number": "305-988-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "MISAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-12",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11006578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.