Provider Demographics
NPI:1013080605
Name:MONTEIRO, DONALD (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:MONTEIRO
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 1:1 CITY HALL PLZ
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3149
Mailing Address - Country:US
Mailing Address - Phone:781-662-4390
Mailing Address - Fax:781-662-4395
Practice Address - Street 1:1 CITY HALL PLZ
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3149
Practice Address - Country:US
Practice Address - Phone:781-662-4390
Practice Address - Fax:781-662-4395
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA57281207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA602829OtherTUFTS
MA130371OtherHARVARD
MA3016471Medicaid
MA602829OtherTUFTS
MAA58725Medicare UPIN