Provider Demographics
NPI:1487723979
Name:MONSALVE, MARIBEL (MD)
Entity type:Individual
Prefix:DR
First Name:MARIBEL
Middle Name:
Last Name:MONSALVE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2344 3RD ST S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32250-4023
Mailing Address - Country:US
Mailing Address - Phone:904-253-2555
Mailing Address - Fax:904-253-2418
Practice Address - Street 1:900 UNIVERSITY BLVD N
Practice Address - Street 2:MC-75
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-5530
Practice Address - Country:US
Practice Address - Phone:904-253-1002
Practice Address - Fax:904-253-1942
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82810208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01943OtherBCBS
FL263090700Medicaid
FL9913059OtherCIGNA