Provider Demographics
NPI:1356314322
Name:GARCIA MONTES, EDUARDO (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:
Last Name:GARCIA MONTES
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 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:3661 S MIAMI AVE
Practice Address - Street 2:STE. 405
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4236
Practice Address - Country:US
Practice Address - Phone:305-854-5811
Practice Address - Fax:305-854-6223
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 61271208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL26896OtherBLUE CROSS BLUE SHIELD
FLP01601009OtherRR MEDICARE
FL208840OtherAVMED
FL26896OtherBCBS
FLP1024997OtherFREEDOM
FL6792OtherDIMENSION HEALTH
FL378249200Medicaid
FL9841482OtherCIGNA
FL1073731OtherWELLCARE
FL7774640OtherAETNA
FL41493OtherMEDICA
FLP963060OtherOPTIMUM
FL004317OtherNHP
FL1022019OtherCAREPLUS
FL3561OtherMEDICA
FLP01730425OtherSIMPLY
FLP01601009OtherRR MEDICARE
FL41493OtherMEDICA
FL6792OtherDIMENSION HEALTH