Provider Demographics
NPI:1962852517
Name:MONSERRATE, ANDRES ENRIQUE (MD)
Entity Type:Individual
Prefix:
First Name:ANDRES
Middle Name:ENRIQUE
Last Name:MONSERRATE
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 1:17-10 PASEO DE LA ALHAMBRA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3119
Mailing Address - Country:US
Mailing Address - Phone:787-908-5122
Mailing Address - Fax:
Practice Address - Street 1:611 WILLIAM PENN PL APT 2106
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-6910
Practice Address - Country:US
Practice Address - Phone:787-908-5122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR78987207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery