Provider Demographics
NPI:1154696599
Name:MONTEIRO, NELSON RAMOS (BA)
Entity type:Individual
Prefix:
First Name:NELSON
Middle Name:RAMOS
Last Name:MONTEIRO
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:
Mailing Address - City:NORTH QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-0004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 BLACKSTONE PARK
Practice Address - Street 2:
Practice Address - City:N. QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-0004
Practice Address - Country:US
Practice Address - Phone:617-532-5556
Practice Address - Fax:617-532-5560
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator