Healthcare Provider Details

I. General information

NPI: 1790762847
Provider Name (Legal Business Name): JUAN J SANCHEZ MONTANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2005
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 Number13722
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: