Provider Demographics
NPI:1710679154
Name:MONTERO, LILIAN (APRN)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:
Last Name:MONTERO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13255 SW 137TH AVE STE 204&205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5326
Mailing Address - Country:US
Mailing Address - Phone:786-840-5960
Mailing Address - Fax:
Practice Address - Street 1:13255 SW 137TH AVE STE 204&205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5326
Practice Address - Country:US
Practice Address - Phone:786-539-8927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11016445363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care