Montero Jaques, Mariana Lee

Montero Jaques, Mariana Lee is an individual health care provider with primary practice located at 2402 Winnebago St , Madison WI 53704-5341. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Montero Jaques, Mariana Lee can be contacted via phone (608) 242-6855.

Contact Information

Primary practice address
2402 Winnebago St Madison WI 53704-5341
Phone: (608) 242-6855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 77648-20 Wisconsin

Profile Details

NPI number 1003445545
LBN Legal business name Montero Jaques, Mariana Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2020
Last updated Aug 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers