Provider Demographics
NPI:1265786545
Name:MONTERROSO, THELMA C (NP-C, ARNP)
Entity type:Individual
Prefix:
First Name:THELMA
Middle Name:C
Last Name:MONTERROSO
Suffix:
Gender:
Credentials:NP-C, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13607 SW 115TH LN # 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4444
Mailing Address - Country:US
Mailing Address - Phone:305-989-3490
Mailing Address - Fax:562-499-6171
Practice Address - Street 1:3923 FORT HAMILTON PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-1916
Practice Address - Country:US
Practice Address - Phone:929-491-7333
Practice Address - Fax:562-499-6171
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9199897363L00000X
FLA1012090363L00000X
NY545865-1363L00000X
FLAPRN9199897363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner