Provider Demographics
NPI:1336333087
Name:MONTESINOS, DANIEL ANDRES (BA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ANDRES
Last Name:MONTESINOS
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 NW. 14TH ST.
Mailing Address - Street 2:SUITE 1210 UNIVERSITY OF MIAMI/EARLY
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:305-243-6600
Mailing Address - Fax:305-243-3501
Practice Address - Street 1:1120 NW. 14TH ST.
Practice Address - Street 2:SUITE 1210 UNIVERSITY OF MIAMI/EARLY
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-243-6600
Practice Address - Fax:305-243-3501
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker