Provider Demographics
NPI:1962877183
Name:MONTANO, YENEY (PHARMD)
Entity type:Individual
Prefix:
First Name:YENEY
Middle Name:
Last Name:MONTANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8370 SW 65TH AVE
Mailing Address - Street 2:APT 6
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7972
Mailing Address - Country:US
Mailing Address - Phone:786-250-9669
Mailing Address - Fax:
Practice Address - Street 1:7425 SW 42ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4402
Practice Address - Country:US
Practice Address - Phone:855-255-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist