Healthcare Provider Details

I. General information

NPI: 1821935925
Provider Name (Legal Business Name): MICHELLE S MONTCOURT DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3819 AVE ISLA VERDE APT 4B
CAROLINA PR
00979-6711
US

IV. Provider business mailing address

3819 AVE ISLA VERDE APT 4B
CAROLINA PR
00979-6711
US

V. Phone/Fax

Practice location:
  • Phone: 787-637-7797
  • Fax:
Mailing address:
  • Phone: 787-637-7797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1155
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: