DR. PAULO MONTEIRO, MD - NPI NUMBER 1184670135

Summary

Provider Name: DR. PAULO MONTEIRO, MD

NPI Number: 1184670135

Clasification: Specialist (174400000X)

Organization: LYERLY BAPTIST INC

Address:
800 PRUDENTIAL DR
TOWER B, 11TH FLOOR
JACKSONVILLE, FL
ZIP 32207

Phone Number: (904) 388-6518



Detailed Information

DR. Paulo Monteiro, MD is a specialist in Jacksonville, FL with 40 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. The assigned NPI number for this provider is 1184670135 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

800 PRUDENTIAL DR
TOWER B, 11TH FLOOR
JACKSONVILLE, FL
ZIP 32207-202
Phone: (904) 388-6518
Fax: (904) 384-1005

The enumeration date for this NPI number is 5/25/2006 and was last updated on 5/8/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 174400000X Specialist ME0039844 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 15689W MEDICARE ID-TYPE UNSPECIFIED FL
2 007982700 MEDICAID FL
3 D52701 MEDICARE UPIN FL

NPI Record

No. Field Name Field Value
1 NPI 1184670135
2 Entity Type Code 1
3 Provider Last Name Legal Name MONTEIRO
4 Provider First Name PAULO
5 Provider Name Prefix Text DR.
6 Provider Credential Text MD
7 Provider First Line Business Practice Location Address 800 PRUDENTIAL DR
8 Provider Second Line Business Practice Location Address TOWER B, 11TH FLOOR
9 Provider Business Practice Location Address City Name JACKSONVILLE
10 Provider Business Practice Location Address State Name FL
11 Provider Business Practice Location Address Postal Code 322078202
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 9043886518
14 Provider Business Practice Location Address Fax Number 9043841005
15 Provider Enumeration Date 5/25/2006
16 Last Update Date 5/8/2013
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 174400000X
19 Provider License Number 1 ME0039844
20 Provider License Number State Code 1 FL
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 15689W
23 Other Provider Identifier Type Code 1 04
24 Other Provider Identifier State 1 FL
25 Other Provider Identifier 2 007982700
26 Other Provider Identifier Type Code 2 05
27 Other Provider Identifier State 2 FL
28 Other Provider Identifier 3 D52701
29 Other Provider Identifier Type Code 3 02
30 Other Provider Identifier State 3 FL
31 Is Sole Proprietor N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.