Individual
MIGUEL A MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 NORTH MAIN, LOVINGTON, NM 88260-2813
(575) 396-6611
(575) 396-1454
Mailing address
301 MEMORIAL MEDICAL PKWY, URB JARDINES METROPOLITANOS, DAYTONA BEACH, FL 32117-5167
(386) 231-6000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
674130
NY
367500000X
Certified Registered Nurse Anesthetist
847033
TX
367500000X
Certified Registered Nurse Anesthetist
95000027
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9193090
FL
367500000X
Certified Registered Nurse Anesthetist
CRNA-01274
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00955868
—
NM
05
—
3063925 00
—
FL
01
—
G3779
BC/BS
—
Enumeration date
06/28/2006
Last updated
08/03/2016
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