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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 10 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 1164579066 NPPES
Florida MEDICAID 071286801

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