Active NPI
Miguel A Montero, CRNA
- Certified Registered Nurse Anesthetist
- Lovington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9193090
- Practice address
- 1600 North Main
Lovington, NM 88260-2813 - Phone
- (575) 396-6611
- Fax
- (575) 396-1454
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9193090 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 674130 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA-01274 | NM | |
| Certified Registered Nurse Anesthetist | 367500000X | 95000027 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 847033 | TX |
Addresses
Primary practice location
1600 North Main
Lovington, NM 88260-2813
Mailing address
301 Memorial Medical Pkwy
Urb Jardines Metropolitanos
Daytona Beach, FL 32117-5167
Phone (386) 231-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00955868 | Medicaid | NM | |
| 3063925 00 | Medicaid | FL | |
| G3779 | Other | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Puerto Rico School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6238
Hospital & facility affiliations
- St Barnabas Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9193090 | FL | MD | Certified Registered Nurse Anesthetist |
| CRNA-01274 | NM | MD | Certified Registered Nurse Anesthetist |
| 847033 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronx Anesthesia Services, PC | Current | Accepting new patients | |
| Wolverine Anesthesia Consultants, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Palmetto Anesthesia Specialists LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1225330103
-
- Anesthesiology Physician
- Hialeah, FL
- NPI 1235434275
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1558381392
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1669409033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MEMORIAL MEDICAL PKWY",
"address_2": "URB JARDINES METROPOLITANOS",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175167",
"telephone_number": "386-231-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 NORTH MAIN",
"city": "LOVINGTON",
"state": "NM",
"postal_code": "882602813",
"telephone_number": "575-396-6611",
"fax_number": "575-396-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTERO",
"first_name": "MIGUEL",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9193090",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "674130",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "CRNA-01274",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95000027",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "847033",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00955868",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3063925 00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "G3779",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lovington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.