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General NPI Number Information
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NPI Number | 1295756690
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Entity Type | Individual
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Provider Name | LUIS F. MONTALVO-SANCHEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 12/19/2008
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Provider Practice Location Address
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Address Line | 500 AVE DOMENECH OFFICE 601
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City | SAN JUAN
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State | PR
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Zip | 00918-3736
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Country | US
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Telephone | 787-758-0031
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Fax | 787-758-0031
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Provider Business Mailing Address
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Address Line | S30 CALLE CALIFORNIA MAYORCA URB.
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City | GUAYNABO
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State | PR
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Zip | 00969-3902
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Country | US
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Telephone | 787-790-4777
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 6552
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License Number State | PR
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