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Deactivated NPI 1467656108 Deactivated / Inactive NPI Male Practitioner

Dr. Mauricio Samuel Montenegro , DDS

Dentist - General Practice • Miami, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mauricio Montenegro has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2007
NPI Deactivation Date February 03, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Mauricio Montenegro, DDS was a registered Dentist - General Practice practicing in Miami, FL. Throughout an active medical career spanning 15 years, Dr. Montenegro provided care at the practice location at 9000 S. W. 137 AVE. BLDG. 1 SUITE 205 SUITE 205 until profile deactivation on 2022-02-03.

Practice Location & Contact Primary Location

Practice Address

9000 S. W. 137 Ave. Bldg. 1 Suite 205 Suite 205
Suite 205

Miami, FL 33186

Telephone 3053864663
Fax 3053825978
Associated Practice Facility / Clinic
🏢 Judith Monterrey Dds Llc Facility NPI 1023401098

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
530 Specialists

Practicing in Miami, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN OO12182

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1023372521

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 03, 2022

Record deactivated on February 03, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 9000 S. W. 137 AVE. BLDG. 1 SUITE 205 SUITE 205, SUITE 205, MIAMI, FL 33186 (Tel: 3053864663)

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Updated Business Mailing Address July 08, 2007

Registered at 9000 S. W. 137 AVE. BLDG. 1 SUITE 205, MIAMI, FL 33186 (Tel: 3053864663)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MAURICIO MONTENEGRO, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN OO12182 in FL)

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Initial NPI Registration & Enumeration June 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467656108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2007
Last Update: July 08, 2007
Deactivation Date: February 03, 2022

Mailing Address

9000 S. W. 137 Ave. Bldg. 1 Suite 205

Miami, FL 33186

Phone: 3053864663

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.