# DANIEL MONTENEGRO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bayside Ophthalmology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063104024
- **Authorized official:** DANIEL ENRIQUE MONTENEGRO M.D. (OPHTHALMOLOGY)
- **Authorized official phone:** (305) 804-6396

## Contact information

- **Practice address:** 3683 S MIAMI AVE STE 260, MIAMI, FL 33133-4224
- **Practice address phone:** (305) 804-6396
- **Mailing address:** 3683 S MIAMI AVE STE 260, MIAMI, FL 33133-4224
- **Mailing address phone:** (305) 280-9491
- **Mailing address fax:** (305) 290-3714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0120X | Cornea and External Diseases Specialist Physician | — | NULL | Yes |
| 207WX0120X | Cornea and External Diseases Specialist Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 04/09/2025