Provider Demographics
NPI:1528595345
Name:MONTESINO, ARELYS
Entity Type:Individual
Prefix:
First Name:ARELYS
Middle Name:
Last Name:MONTESINO
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 1:10354 SW 212TH ST APT 207
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-3087
Mailing Address - Country:US
Mailing Address - Phone:786-436-8109
Mailing Address - Fax:
Practice Address - Street 1:15635 SW 109TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-1214
Practice Address - Country:US
Practice Address - Phone:786-436-8109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician