Provider Demographics
NPI:1124504022
Name:TORANZOS MONTENEGRO, KAROL VANESA (PA-C)
Entity type:Individual
Prefix:
First Name:KAROL
Middle Name:VANESA
Last Name:TORANZOS MONTENEGRO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6280 SUNSET DR STE 501
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4870
Mailing Address - Country:US
Mailing Address - Phone:786-617-8638
Mailing Address - Fax:
Practice Address - Street 1:6280 SUNSET DR STE 501
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4870
Practice Address - Country:US
Practice Address - Phone:305-671-3447
Practice Address - Fax:305-671-3739
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9111024363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant