Provider Demographics
NPI:1174276927
Name:HUERTAS, MONICA (CPD)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:HUERTAS
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4306
Mailing Address - Country:US
Mailing Address - Phone:401-280-4059
Mailing Address - Fax:
Practice Address - Street 1:216 OHIO AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-4306
Practice Address - Country:US
Practice Address - Phone:401-280-4059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-01
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula