Provider Demographics
NPI:1245815000
Name:MONTOYA, LILIANA (ACAGNP-BC)
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:ACAGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 ROYAL PALM BEACH BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1668
Mailing Address - Country:US
Mailing Address - Phone:561-907-4888
Mailing Address - Fax:561-429-2530
Practice Address - Street 1:1402 ROYAL PALM BEACH BLVD STE 200
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1668
Practice Address - Country:US
Practice Address - Phone:561-907-4888
Practice Address - Fax:561-429-2530
Is Sole Proprietor?:No
Enumeration Date:2021-03-13
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9437630163WC0200X
FL649384363LA2100X
FLAPRN11013699363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care