Provider Demographics
NPI:1962510826
Name:MONTERO, ALBERTO JOSE (MD)
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:JOSE
Last Name:MONTERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY HOSPITALS
Mailing Address - Street 2:11100 EUCLIDE AVENUE, LAKESIDE SUITE 1200
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106
Mailing Address - Country:US
Mailing Address - Phone:216-844-3951
Mailing Address - Fax:216-201-4676
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-3951
Practice Address - Fax:216-201-4676
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101699207RH0003X
OH35.120824207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0082188Medicaid
OH0082188Medicaid
SCAA0892Medicare ID - Type Unspecified