Pedro Alfonso Amado Montoya, SA-C
Specialist/Technologist, Other, Surgical Assistant in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1821673609
StatusActive
Last updated in NPPESJan 4, 2022
Details
- NPI
- 1821673609
- Entity type
- Individual (NPI-1)
- Name
- Pedro Alfonso Amado Montoya
- Credential
- SA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2021
- Certification date
- Jan 4, 2022
- Last updated
- Jan 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 21-171 | TN | Yes |
Practice location
915 Middle River DrFort Lauderdale, FL 33304-3544
Phone 954-565-7575
Mailing address
10637 Nw 43rd StSunrise, FL 33351-8337
Phone 731-613-8849
Other practice locations
169 Caleb Dr
Medina, TN 38355-9735
Medina, TN 38355-9735
Phone 731-613-8849
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