Provider Demographics
NPI:1760477913
Name:MONTIEL, CRISTINA RODRIGUEZ (MD)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:RODRIGUEZ
Last Name:MONTIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 SUNSET DR
Mailing Address - Street 2:SUITE 351
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3012
Mailing Address - Country:US
Mailing Address - Phone:305-273-1200
Mailing Address - Fax:305-273-1400
Practice Address - Street 1:10300 SUNSET DRIVE
Practice Address - Street 2:SUITE 351
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1494
Practice Address - Country:US
Practice Address - Phone:305-273-1200
Practice Address - Fax:305-273-1400
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME660969208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOTH000Medicare UPIN