Provider Demographics
NPI:1760978324
Name:MONTERO, ORMARIR (NP - C)
Entity Type:Individual
Prefix:MS
First Name:ORMARIR
Middle Name:
Last Name:MONTERO
Suffix:
Gender:F
Credentials:NP - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14325 WATERFORD CHASE PKWY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6612
Mailing Address - Country:US
Mailing Address - Phone:407-737-0986
Mailing Address - Fax:
Practice Address - Street 1:14325 WATERFORD CHASE PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6612
Practice Address - Country:US
Practice Address - Phone:407-737-0986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-07
Last Update Date:2018-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9282647363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily