Provider Demographics
NPI:1013055334
Name:MONTERO, SANDRA M (PT)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:M
Last Name:MONTERO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 SW 162ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4448
Mailing Address - Country:US
Mailing Address - Phone:786-277-8852
Mailing Address - Fax:786-431-5891
Practice Address - Street 1:2023 W 62ND ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2678
Practice Address - Country:US
Practice Address - Phone:786-536-4399
Practice Address - Fax:786-431-5891
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT8785225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT8785OtherPHYSICAL THERAPY LICENSE
FLE7783AOtherMEDICARE LEGACY