Pedro Monserrate, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0063174 Issued in FL

Practice address

2721 Del Prado Blvd S
Suite 260
Cape Coral, FL 33904-5781

Phone

(239) 574-0011

Fax

(239) 574-4020

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: pmonserrate@kjcm.mdlogic.direct-ci.com

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1932142064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 CLEVELAND AVE STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017182",
            "telephone_number": "239-574-0011",
            "fax_number": "239-574-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 DEL PRADO BLVD S",
            "address_2": "SUITE 260",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045781",
            "telephone_number": "239-574-0011",
            "fax_number": "239-574-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSERRATE",
        "first_name": "PEDRO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0063174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0599674",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373039500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "3911740004",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18915",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "592207264",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "592207264E",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4374392",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0905525",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0664623",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Lucia Molina
• Arthur K Molzan, DDS
• Seth Monaco
• Simone Monaco, MS
• Nicolle Moncada
• Onel Roberto Montalvo Sr., BSC, CPC, MLS
• Yanet Montano Gilber, RBT
• Sarah E Montanye, PT
• Monte Health Alf Corp
• Isaily Montecino Leon

• Specialist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.