Provider Demographics
NPI:1124504022
Name:TORANZOS MONTENEGRO, KAROL VANESA (PA-C)
Entity type:Individual
Prefix:
First Name:KAROL
Middle Name:VANESA
Last Name:TORANZOS MONTENEGRO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8905 SW 87TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2210
Mailing Address - Country:US
Mailing Address - Phone:305-667-8686
Mailing Address - Fax:305-270-8989
Practice Address - Street 1:8940 N KENDALL DR STE 101E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2166
Practice Address - Country:US
Practice Address - Phone:305-667-8686
Practice Address - Fax:305-667-8680
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2023-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9111024363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant