Provider Demographics
NPI:1033386628
Name:MONSALVE DUARTE, GUILLERMO ALFONSO (MD)
Entity Type:Individual
Prefix:
First Name:GUILLERMO
Middle Name:ALFONSO
Last Name:MONSALVE DUARTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 STETSON ST
Mailing Address - Street 2:3RD FLOOR, DEPARTMENT OF NEUROSURGERY
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2492
Mailing Address - Country:US
Mailing Address - Phone:513-558-3903
Mailing Address - Fax:
Practice Address - Street 1:260 STETSON ST
Practice Address - Street 2:3RD FLOOR, DEPARTMENT OF NEUROSURGERY
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2492
Practice Address - Country:US
Practice Address - Phone:513-558-3903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program