Provider Demographics
NPI:1811908726
Name:MONTERO, KARIN ELENA (MD)
Entity type:Individual
Prefix:DR
First Name:KARIN
Middle Name:ELENA
Last Name:MONTERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5114 BALCONES WOODS DR
Mailing Address - Street 2:SUITE #307-391
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5273
Mailing Address - Country:US
Mailing Address - Phone:512-343-2400
Mailing Address - Fax:512-343-2484
Practice Address - Street 1:5114 BALCONES WOODS DR
Practice Address - Street 2:SUITE #307-391
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5273
Practice Address - Country:US
Practice Address - Phone:512-343-2400
Practice Address - Fax:512-343-2484
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2158174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE45986Medicare UPIN
TX00G99VMedicare ID - Type Unspecified