Provider Demographics
NPI:1518348705
Name:CORBERA-HINCAPIE, MONTSERRAT ANTONIETA (MD)
Entity Type:Individual
Prefix:DR
First Name:MONTSERRAT
Middle Name:ANTONIETA
Last Name:CORBERA-HINCAPIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MONTSERRAT
Other - Middle Name:ANTONIETA
Other - Last Name:CORBERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 NW 12TH AVE STE 3005A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1601 NW 12TH AVE STE 3005A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-243-3166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME135356208000000X
TN651652080P0206X
390200000X
FLME1619402080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024777100Medicaid