Healthcare Provider Details

I. General information

NPI: 1841639622
Provider Name (Legal Business Name): ANTHONY SEBASTIAN MONTUNO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2013
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E HAMPDEN AVE
ENGLEWOOD CO
80113-2702
US

IV. Provider business mailing address

1265 N EMERSON ST APT 401
DENVER CO
80218-1865
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-5000
  • Fax:
Mailing address:
  • Phone: 213-603-0318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDR.0066016
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA142632
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0066016
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD25303
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: