Provider Demographics
NPI:1841438751
Name:MONTESINO, ERNESTO R (MD)
Entity type:Individual
Prefix:DR
First Name:ERNESTO
Middle Name:R
Last Name:MONTESINO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6238 W ATLANTIC AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-3501
Mailing Address - Country:US
Mailing Address - Phone:561-404-9845
Mailing Address - Fax:561-404-9849
Practice Address - Street 1:6238 W ATLANTIC AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-3501
Practice Address - Country:US
Practice Address - Phone:561-404-9845
Practice Address - Fax:561-404-9849
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
MI4301081971207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME110821OtherDEA FM1364188