Healthcare Provider Details

I. General information

NPI: 1235301243
Provider Name (Legal Business Name): SANCHEZ MONTANO MEDICAL PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2008
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 CALLE MUNOZ RIVERA W
RINCON PR
00677-2125
US

IV. Provider business mailing address

PO BOX 497
MAYAGUEZ PR
00681-0497
US

V. Phone/Fax

Practice location:
  • Phone: 787-823-7200
  • Fax: 939-697-8170
Mailing address:
  • Phone: 787-823-7200
  • Fax: 939-697-8170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JUAN JOSE SANCHEZ MONTANO
Title or Position: PRESIDENT
Credential: MD
Phone: 787-464-4376