Provider Demographics
NPI:1184822074
Name:MONTEIRO, CHERYL-ANN (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:CHERYL-ANN
Middle Name:
Last Name:MONTEIRO
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 LUCKENBACH DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-4632
Mailing Address - Country:US
Mailing Address - Phone:229-395-6515
Mailing Address - Fax:972-390-9258
Practice Address - Street 1:1430 LUCKENBACH DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4632
Practice Address - Country:US
Practice Address - Phone:229-395-6515
Practice Address - Fax:972-390-9258
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4887207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000973211AMedicaid
GA11BDWCNMedicare ID - Type Unspecified
GA000973211AMedicaid