Provider Demographics
NPI:1922642024
Name:MONTERO, EVELIN DEL PILAR (MD)
Entity Type:Individual
Prefix:DR
First Name:EVELIN
Middle Name:DEL PILAR
Last Name:MONTERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EVELIN
Other - Middle Name:DEL PILAR
Other - Last Name:MARTINEZ GURDIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:URBANIZACION BONNEVILLE HEIGHTS
Mailing Address - Street 2:2 CALLE GURABO ALTOS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:305-336-7710
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL HIMA SAN PABLO CAGUAS
Practice Address - Street 2:100 LUIS MUNOZ MARIN AVENUE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-653-6060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21586208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice