Healthcare Provider Details

I. General information

NPI: 1992764617
Provider Name (Legal Business Name): VICTOR M MONTANEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL MENONITA STANLEY MILLER ST BO CAONILLA
AIBONITO PR
00705
US

IV. Provider business mailing address

PO BOX 3916
GUYANABO PR
00970-3916
US

V. Phone/Fax

Practice location:
  • Phone: 787-735-8001
  • Fax: 787-735-8001
Mailing address:
  • Phone: 787-999-0753
  • Fax: 787-999-0790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number9992
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9992
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: