Organization Active NPI

Emilio F Montero MD PA

  • Specialist
  • Lakeland, FL
National Provider Identifier
1932411063
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
193400000X Issued in FL
Legal business name
EMILIO F MONTERO MD PA
Practice address
1812 Lakeland Hills Blvd
Lakeland, FL 33805-3004
Phone
(863) 682-2117
Fax
(863) 683-7915
NPI assigned
Jul 6, 2010
Last updated
Jul 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Emilio F Montero, MD
Title
Owner
Phone
(863) 682-2117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 193400000X FL Primary

Addresses

Primary practice location

1812 Lakeland Hills Blvd
Lakeland, FL 33805-3004

Mailing address

1812 Lakeland Hills Blvd
Lakeland, FL 33805-3004
Phone (863) 682-2117

Other identifiers 1

IdentifierTypeStateIssuer
ME0016269MedicaidFL

National Provider Directory

National Provider Directory

Locations

1812 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (813) 682-2117

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1932411063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053004",
            "telephone_number": "863-682-2117",
            "fax_number": "863-683-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053004",
            "telephone_number": "863-682-2117",
            "fax_number": "863-683-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILIO F MONTERO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-682-2117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "193400000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ME0016269",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.