Individual
MAYNOR MONTERROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10401 N KENDALL DR APT A102, MIAMI, FL 33176-1512
(786) 999-5078
Mailing address
10401 N KENDALL DR APT A102, MIAMI, FL 33176-1512
(786) 999-5078
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
9134465201
FL
Other
Enumeration date
06/24/2025
Last updated
07/10/2025
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