Provider Demographics
NPI:1538950696
Name:MAURELL MONTERO, LI
Entity type:Individual
Prefix:
First Name:LI
Middle Name:
Last Name:MAURELL MONTERO
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 W HILLSBOROUGH AVE # 152772
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-5940
Mailing Address - Country:US
Mailing Address - Phone:786-481-9097
Mailing Address - Fax:813-212-9672
Practice Address - Street 1:3201 W HILLSBOROUGH AVE # 152772
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-5940
Practice Address - Country:US
Practice Address - Phone:786-481-9097
Practice Address - Fax:813-212-9672
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker