Montero, Ricardo
Montero, Ricardo is an sole proprietor health care provider with primary practice located at 11741 S Cleveland Ave , Fort Myers FL 33907-2854. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Montero, Ricardo can be contacted via phone (239) 939-2005.Contact Information
Primary practice address
11741 S Cleveland Ave
Fort Myers FL 33907-2854
Phone: (239) 939-2005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN14128 | Florida |
Profile Details
| NPI number | 1164579066 |
|---|---|
| LBN Legal business name | Montero, Ricardo |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Oct 28th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164579066 | NPPES |
| Florida | MEDICAID | 071286801 |
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