EDILBERTO MONTENEGRO NPI 1295146793

NPI Information

NPI: 1295146793
Provider Name: EDILBERTO MONTENEGRO
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Individual
Address:
5376 LAMBERT DR APT A
APT A
NORCROSS, GA
ZIP 30093
Phone: (470) 362-9008
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Edilberto Montenegro is a prosthetic orthotic supplier in Norcross, GA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Edilberto Montenegro NPI is 1295146793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5376 LAMBERT DR APT A
APT A
NORCROSS, GA
ZIP 30093-864
Phone: (470) 362-9008
Fax: (678) 400-7896

The enumeration date for this NPI number is 5/19/2014 and was last updated on 5/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	335E00000X	Prosthetic/Orthotic Supplier				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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