Individual provider · Type 1 NPI

Andres Antonio Montenegro, PA-C

Surgical Physician Assistant · Coral Gables, FL

NPI number 1578065900 Active

Practice location

1150 Campo Sano Ave
Coral Gables, FL 33146-1174

Mailing address

PO Box 100905
Atlanta, GA 30384-0905

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9111085 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1578065900

Andres Antonio Montenegro, PA-C's National Provider Identifier is 1578065900, issued on Mar 1, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Coral Gables, FL. The record was last updated on Apr 14, 2021.