Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariana Lee Montero Jaques, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003445545

Mariana Lee Montero Jaques, MD is a Student in an Organized Health Care Education/Training Program in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2402 Winnebago St
Madison, WI 53704-5341
Phone: (608) 242-6855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 77648-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003445545
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023

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