Provider Demographics
NPI:1326449414
Name:FERNANDEZ MONTERO, DUNIA
Entity Type:Individual
Prefix:
First Name:DUNIA
Middle Name:
Last Name:FERNANDEZ MONTERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11379 SW 65TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1974
Mailing Address - Country:US
Mailing Address - Phone:786-419-8290
Mailing Address - Fax:
Practice Address - Street 1:4302 ALTON RD STE 650
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2877
Practice Address - Country:US
Practice Address - Phone:305-674-2543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005191363LG0600X
FLRN9379237163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse