Jenycce Montanez de Julio, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111948 Issued in FL

Practice address

2414 E Sunrise Blvd # 2140a
Ft Lauderdale, FL 33304-3102

Phone

(954) 561-6244

NPI assigned

Jun 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenycce Montanez Former name

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1659933737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 NW 115TH TER",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653435",
            "telephone_number": "305-525-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 E SUNRISE BLVD # 2140A",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043102",
            "telephone_number": "954-561-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANEZ DE JULIO",
        "first_name": "JENYCCE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENYCCE",
            "last_name": "MONTANEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Naomi Samter Montague, MD
• Judith Rosalyn Montalvan
• Berta M Montalvo, MD
• Sheila Montalvo
• Joseph J Montana, CRNA
• Christopher Montano, BCABA
• Dominic Montas
• Aida J Montenegro
• Manuel Montes de Oca Jr., MD
• Melanie Montes de Oca

• Physician Assistant in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.