Provider Demographics
NPI:1902125008
Name:MONTERROSA, PAIGE DAWES (AP)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:DAWES
Last Name:MONTERROSA
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 SE 7TH ST
Mailing Address - Street 2:APT 406C
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-4862
Mailing Address - Country:US
Mailing Address - Phone:754-235-5540
Mailing Address - Fax:
Practice Address - Street 1:3766 NE 3RD AVE
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-3526
Practice Address - Country:US
Practice Address - Phone:354-366-5817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1315171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist