Provider Demographics
NPI:1124352513
Name:MONTERO, MIGUEL ANGEL (DC)
Entity type:Individual
Prefix:
First Name:MIGUEL
Middle Name:ANGEL
Last Name:MONTERO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 N CONGRESS AVE
Mailing Address - Street 2:SUITE 417
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4703
Mailing Address - Country:US
Mailing Address - Phone:561-498-4300
Mailing Address - Fax:561-498-4539
Practice Address - Street 1:601 N CONGRESS AVE
Practice Address - Street 2:SUITE 417
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4703
Practice Address - Country:US
Practice Address - Phone:561-498-4300
Practice Address - Fax:561-498-4539
Is Sole Proprietor?:No
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor