Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 4301100761 | MI |
Y | 207W00000X | Ophthalmologist | ME142618 | FL |
NPI | 1013283779 |
---|---|
Provider Name | Dr. Daniel Enrique Montenegro |
First Address | Miami, FL 33176-2175 |
Second Address | Miami, FL 33176-2175 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2012 |
Last Update Date | 06/01/2020 |