Provider Demographics
NPI:1871658674
Name:MONTES, MARITES MAULAWIN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:MARITES
Middle Name:MAULAWIN
Last Name:MONTES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 THORNRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325
Mailing Address - Country:US
Mailing Address - Phone:954-294-3767
Mailing Address - Fax:
Practice Address - Street 1:8251 W BROWARD BLVD STE 102
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2703
Practice Address - Country:US
Practice Address - Phone:855-226-6633
Practice Address - Fax:305-899-1352
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1472272363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner