Monte-Fernandez, Rosa R

Monte-Fernandez, Rosa R is an sole proprietor health care provider with primary practice located at 2900 S Commerce Pkwy , Weston FL 33331-3622. She recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Preferred Provider Organization, Allopathic & Osteopathic Physicians / Pediatrics. Managed Care Organizations / Preferred Provider Organization is her primary health care specialty. Monte-Fernandez, Rosa R can be contacted via phone (954) 217-6585.

Contact Information

Primary practice address
2900 S Commerce Pkwy Weston FL 33331-3622
Phone: (954) 217-6585
Fax: (954) 217-6586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X ME61105 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME61105 Florida

Profile Details

NPI number 1659422400
LBN Legal business name Monte-Fernandez, Rosa R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jun 22nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659422400 NPPES
Florida MEDICAID 003172300

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