Provider Demographics
NPI:1659778033
Name:MONTES, JESSICA (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:MONTES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 TOWNE CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-7407
Mailing Address - Country:US
Mailing Address - Phone:407-200-0547
Mailing Address - Fax:407-205-0803
Practice Address - Street 1:401 TOWNE CENTER BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-7407
Practice Address - Country:US
Practice Address - Phone:407-200-0547
Practice Address - Fax:407-205-0803
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME137803207R00000X, 207RG0300X
NY304321207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine