Individual
JOSE A MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 E KENNEDY BLVD, SUITE 311, TAMPA, FL 33602-3511
(813) 307-8015
(813) 276-2999
Mailing address
1105 E KENNEDY BLVD, SUITE 311, TAMPA, FL 33602-3511
(813) 307-8015
(813) 276-2999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME71001
FL
207RI0200X
Infectious Disease Physician
Primary
ME71001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250177500
—
FL
01
—
32779
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/07/2006
Last updated
03/30/2021
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