Provider Demographics
NPI:1447137567
Name:MONTANEZ, CHRISTOPHER (RN)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:MONTANEZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 NW 120TH TER APT 404
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-0682
Mailing Address - Country:US
Mailing Address - Phone:407-257-1450
Mailing Address - Fax:407-257-1450
Practice Address - Street 1:658 NW 120TH TER APT 404
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-0682
Practice Address - Country:US
Practice Address - Phone:407-257-1450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9512895163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine