Sandorf Montero, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN25173 Issued in FL

Practice address

11300 NW 87TH CT Ste 166
Hialeah Gardens, FL 33018-4521

Phone

(786) 702-5643

Fax

(305) 364-0983

NPI assigned

Jul 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• HealthSun Health Plans Network

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

• Cosmetic Smiles Dental Care LLC

  • Dental Clinic/Center
  • Hialeah Gardens, FL
  • NPI 1669156436
  NPD Authorized official

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1609494137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 NW 87TH CT STE 166",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184521",
            "telephone_number": "786-702-5643",
            "fax_number": "305-364-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 NW 87TH CT STE 166",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184521",
            "telephone_number": "786-702-5643",
            "fax_number": "305-364-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "SANDORF",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-10",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN25173",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DN25173",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Esther Mirlington, RBT
• Greta Moc
• Yansimy D Mojena Diaz
• Jose Luis Montells Perez, ARNP
• Oliver Alberto Montero Salazar Sr.
• Brittni Montezano
• Marcia Y Montoya
• Yanelis Morales Gonzalez
• Yusely Morales la Rosa
• Patricia Morales Perez

• Dentist in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.