Montijo, Iris A

Montijo, Iris A is an individual health care provider with primary practice located at 637 Washington St , Dorchester MA 02124-3510. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Montijo, Iris A can be contacted via phone (617) 825-9660.

Contact Information

Primary practice address
637 Washington St Dorchester MA 02124-3510
Phone: (617) 825-9660
Fax: (617) 288-7898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN206927 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN206927 Massachusetts

Profile Details

NPI number 1871754390
LBN Legal business name Montijo, Iris A
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Dec 11th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871754390 NPPES
Massachusetts MEDICAID 110091560A

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