Individual
MR. ANDRES ANTONIO MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1150 CAMPO SANO AVE, CORAL GABLES, FL 33146-1174
(786) 268-6200
Mailing address
PO BOX 100905, ATLANTA, GA 30384-0905
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9111085
FL
Other
Enumeration date
03/01/2018
Last updated
04/14/2021
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