Provider Demographics
NPI:1881566578
Name:MONTERO INFANTE, LEIDYS MARGARITA
Entity type:Individual
Prefix:
First Name:LEIDYS
Middle Name:MARGARITA
Last Name:MONTERO INFANTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 E YAGER LN APT 423
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-1670
Mailing Address - Country:US
Mailing Address - Phone:737-777-0567
Mailing Address - Fax:
Practice Address - Street 1:305 E YAGER LN APT 423
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-1670
Practice Address - Country:US
Practice Address - Phone:737-777-0567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9634937363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily