Healthcare Provider Details

I. General information

NPI: 1801058706
Provider Name (Legal Business Name): RONALD P MONTEVERDE MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 N TURNER ST SUITE 218
HOBBS NM
88240-4331
US

IV. Provider business mailing address

1601 N TURNER ST SUITE 218
HOBBS NM
88240-4331
US

V. Phone/Fax

Practice location:
  • Phone: 575-391-7572
  • Fax: 575-391-7576
Mailing address:
  • Phone: 575-391-7572
  • Fax: 575-391-7576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD P MONTEVERDE
Title or Position: PRESIDENT
Credential: MD
Phone: 575-391-7572