Provider Demographics
NPI:1922642024
Name:MONTERO, EVELIN DEL PILAR (MD)
Entity type:Individual
Prefix:DR
First Name:EVELIN
Middle Name:DEL PILAR
Last Name:MONTERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EVELIN
Other - Middle Name:DEL PILAR
Other - Last Name:MARTINEZ GURDIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3712 NE 19TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5576
Mailing Address - Country:US
Mailing Address - Phone:305-336-7710
Mailing Address - Fax:
Practice Address - Street 1:1448 N KROME AVE STE 101
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-2402
Practice Address - Country:US
Practice Address - Phone:305-245-0222
Practice Address - Fax:305-246-3700
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-31
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN1287208D00000X
PR21586208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice