Individual provider Active NPI

Angel Raimundo Montero, M.D.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1649467903
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME102172 Issued in FL
Practice address
7100 SW 99TH Ave Ste 204
Miami, FL 33173-4668
Phone
(786) 409-6842
Fax
(305) 456-4996
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME102172 FL
General Practice Physician 208D00000X ME102172 FL Primary

Addresses

Primary practice location

7100 SW 99TH Ave Ste 204
Miami, FL 33173-4668

Mailing address

1981 SW 62ND Ave
Miami, FL 33155-2010
Phone (786) 339-1867

Other practice location 1

4175 W 20th Ave
Hialeah, FL 33012-5874
Phone (305) 558-0151

Other identifiers 1

IdentifierTypeStateIssuer
013687800MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002001060 FL Practitioner - Pediatric Medicine 8921316423 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME102172FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Health Network, Inc. CurrentSince Dec 1, 2014 Accepting new patients
Citrus Health Network Inc Current Accepting new patients
Citrus Health Network Inc CurrentSince Dec 1, 2014 Accepting new patients
Pediatrics Services of Miami Inc Pediatrics Past Accepting new patients
Citrus Health Network Inc Past Accepting new patients

Locations

4175 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3030

551 W 51st Pl
Hialeah, FL 33012
Phone (305) 817-6560

551 W 51st Pl
Fl 2
Hialeah, FL 33012
Phone (305) 817-6560

705 E 26th St
Hialeah, FL 33013
Phone (305) 835-1551

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1649467903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552010",
            "telephone_number": "786-339-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SW 99TH AVE STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734668",
            "telephone_number": "786-409-6842",
            "fax_number": "305-456-4996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 W 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330125874",
            "country_code": "US",
            "telephone_number": "305-558-0151",
            "fax_number": "305-818-1885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "ANGEL",
        "middle_name": "RAIMUNDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME102172",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME102172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013687800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.