Provider Demographics
NPI:1023734753
Name:MONTERROSO, KARLA
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:MONTERROSO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 MONARCH CIR APT 6
Mailing Address - Street 2:
Mailing Address - City:FERN PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32730-2721
Mailing Address - Country:US
Mailing Address - Phone:786-474-5004
Mailing Address - Fax:
Practice Address - Street 1:1211 SR-436 S.
Practice Address - Street 2:(SUITE 100)
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707
Practice Address - Country:US
Practice Address - Phone:786-474-5005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program